PACE RN Care Coordinator

Valir Health; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, and vision insurance

Birthday paid day off

401K company match

Company paid life insurance

Generous PTO

Career development opportunities

Employee recognition

Job summary

Valir PACE Foundation is seeking an RN Care Coordinator to deliver integrated medical and social services to our participants. You will work with physicians, APRNs, and the IDT to develop and monitor individualized care plans in compliance with CMS regulations.

The role emphasizes comprehensive evaluations, care coordination, and education for participants and families, with opportunity for professional growth and a supportive team environment.

Qualifications

• RN license active in Oklahoma with no restrictions.
• Solid knowledge of federal and state health care laws and CMS requirements.
• Strong written and verbal communication and problem-solving abilities.

Responsibilities

• Perform comprehensive exams and update care plans every six months or with status changes.
• Coordinate with physicians, APRNs, and IDT to monitor care plans for participants.
• Document orders, authorizations, and ensure medication compliance.
• Engage participants and families in medical care decisions and education.
• Maintain accurate patient records and participate in care coordination activities.

Skills

Regulatory knowledge

Communication skills

EMR proficiency

Problem solving

Team collaboration

Patient engagement

Education

Oklahoma RN License

CPR Certification

ACLS Preferred

Tools

EMR systems

Job description

Job Details: Job Location: Oklahoma City, OK 73102, Position Type: Full Time, Job Shift: Day, Job Category: Health Care, Valir PACE provides integrated medical and social services to our most vulnerable seniors, helping to unlock their full potential. We are looking for team members who are energized by working in diverse teams toward our shared purpose. Those eager to drive groundbreaking innovation, and who will interact with those we serve and those who serve them in a spirit of understanding and compassion.

WHAT WE OFFER

• Competitive pay, retention and referral bonuses
• Outstanding Medical, dental, and vision insurance
• Paid day off for your birthday
• 401K Company match on day one
• Company paid life insurance
• Generous PTO
• Career development opportunities
• Employee Recognition

Qualifications

Job Summary: The PACE RN Care Coordinator coordinates and delivers medical care to Valir PACE Foundation participants. The RN works jointly with physicians, APRNs, other nurses, therapy, activities, dietary, social services and transportation as part of the Interdisciplinary Team to determine and monitor the care plan for each PACE participant in compliance with all national and state regulations/laws.

Duties/Responsibilities

• Performs comprehensive exams on all participants every six months and upon change of status in accordance with CMS regulations.
• Creates and maintains care plan for participants on case load.
• Participates in acute care visits for participants in PACE clinic.
• Engage the participants support system in medical care.
• Inputs orders and authorizations as needed for meds, services and equipment.
• Manages care and medication compliance for participants on case load.
• Collaborates with IDT for effective and timely interventions for participants.
• Provides hands‑on care for skilled nursing treatments for participants on caseload.
• Triage and prioritize needs throughout day and address as quickly as participants needs indicate
• Utilizes good mannerisms and professional demeanor with participants, families, community care providers and PACE team.
• Ensures positive health outcomes for participants through ongoing participant and support system education, medication management, care coordination, and IDT collaboration.
• Maintains accurate and timely patient records.
• Other duties as assigned.

Required Skills/Abilities

• A strong knowledge of the Federal and State laws and regulations governing health care
• Detailed understanding of government requirements/expectations for health care compliance programs
• Strong oral and written communication, planning, and problem solving skills
• Maintains a high degree of credibility, independence, integrity, confidentiality, and trust
• Able to operate successfully in a constantly changing, fast‑paced environment
• Demonstrates initiative, self‑motivation, practical learning skills, enthusiasm, and an ability to complete multiple tasks in a timely and accurate manner;
• Competent and efficient on EMR and other computer programs
• Knows and adheres to the values and goals of the Valir PACE Program
• Maintains a safe environment for participants, visitors and staff
• Keeps confidentiality of client records, report, and discussion
• Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities

Education, Licenses, Certifications and Experience

• Current Oklahoma RN License without restrictions
• CPR Certification
• ACLS Preferred

Physical Requirements

• Ability to speak, hear, and read English.
• Lift up to 50lbs. from floor to 36 (occasional)
• Walk up to .25 miles (frequent)
• Sustained forward bending (occasional)
• Push up to 75 lbs of force at 36 (frequent)
• Ability to stand (frequent), sit (frequent), sustained squat (occasional), kneeling (occasional)
• Full body range of motion (constant)
• Front carry two handed carry of 25lbs. up to 15 feet (occasional)
• Balance (continuous) in walking, standing, carrying, moving patients, and equipment, etc.
• Grasp of various sizes and weights up to 50lbs (constant)