Care Coordinator RN: Remote work in Florida

eQHealth Solutions; Jacksonville (FL); Remote; USD 65,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Care Coordinator RN to provide remote care coordination services in Florida. The role involves assessing and implementing healthcare options for recipients, collaborating with families, and ensuring compliance with care plans. Ideal candidates will have a Bachelor's degree in Nursing and at least two years of relevant experience.

Qualifications

• At least two years of Care Coordination or equivalent experience preferred.

Responsibilities

• Perform care coordination services for assigned recipients.
• Conduct home and/or PPEC visits as needed.
• Collaborate with families and healthcare teams.

Skills

Care Coordination

Case Management

Education

Bachelor’s degree in Nursing

Job description

Care Coordinator RN: Remote work in Florida

Job Category: Care Coordination

Requisition Number: CAREC001560

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• Posted: August 17, 2021
• Full-Time

Locations

Showing 1 location

Jacksonville, Florida
Jacksonville, FL, USA

Responsibilities

• Perform care coordination services for assigned recipients eligible for home health services, including Home Health Visits, PPEC, Personal Care Services, and/or Private Duty Nursing Services based on contract requirements.
• Use discretion to approve/validate UR or forward to second-level reviewer. Provide first-level utilization review for inpatient and outpatient services requiring authorization, including Prospective, Urgent/Non-urgent, Concurrent, and Retrospective Reviews.
• Complete prior authorizations promptly.
• Conduct initial surveys to recommend appropriate home health assessments, unless already done during the current fiscal year.
• Conduct home and/or PPEC visits as needed or if required by contract.
• Schedule and conduct initial face-to-face meetings with recipients and their guardians at the recipient’s home or PPEC.
• Assess, plan, implement, monitor, and evaluate the options and services needed to meet the recipient’s healthcare needs.
• Document assessment findings, actions, and outcomes accurately.
• Record all communication, interventions, and follow-up tasks in the Care Coordination System within one business day.
• Identify patient care issues and make appropriate recommendations.
• Collaborate with families and healthcare teams to arrange necessary home care services.
• Maintain regular contact with recipients and guardians to update the Care Plan, resolve issues, and identify new needs.
• Participate in multidisciplinary team meetings and contribute to developing comprehensive care plans.
• Evaluate and modify care plans as needed, communicating changes effectively to all stakeholders.
• Monitor caseload eligibility status monthly in MMIS.
• Complete Staffing Tools when reconsidering a recipient’s placement into a Skilled Nursing Facility.
• Follow guidelines for calls and visits related to SNF transitions for six months.
• Serve as a resource to the community.

Qualifications

Skills, Behaviors, Motivations

Details to be provided as applicable.

Education

Required

Bachelor’s degree or higher in Nursing or a related field.

Experience

Required

At least two (2) years of Care Coordination, Case Management, or equivalent experience preferred.

Licenses & Certifications

Required

Registered Nurse (RN) license.

Equal Opportunity Employer. This employer is committed to notifying all applicants of their rights under federal employment laws. For more information, review the 'Know Your Rights' notice from the Department of Labor.