RN Care Coordination

Sarahbush; Greenville (SC); On-site; USD 44,220 - 68,549; Part time

Job summary

Sarah Bush Lincoln is seeking a Registered Nurse for Care Coordination in Greenville. The role coordinates team-based care for individuals and communities, advocating patient- and family-centered planning across settings.

The position runs 3 days a week from 8:00 am to 4:30 pm, with pay starting at $32.10 per hour and based on experience. Responsibilities include data collection, assessing unmet needs, coaching families toward self-management, and ensuring timely communication among care teams,

Qualifications

• ADN required; BLS or CPR certification within 90 days of hire.
• Experience in care coordination or RN role preferred.

Responsibilities

• Actively participates in data collection and analysis for ACO.
• Assess patient and family unmet health and social needs.
• Coach patients/families toward self-management of chronic disease.
• Coordinate a strategy to detect and manage patients with chronic disease.
• Develop care plans with mutual goals for patient, family and providers.
• Monitor adherence and progress towards goals; adjust as needed.
• Ensure tracking of test results, medication management and follow-up adherence.
• Facilitate access to medical and specialty providers and care coordination resources.

Skills

Data collection

Care coordination

Patient education

Collaboration

Quality metrics

Education

ADN

Job description

## RN Care CoordinationApplylocations: Greenville Family Medicineposted on: Posted Todayjob requisition id: JR105001**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**RN Care Coordination**Job Description**Coordinates team based care to provide health services to individuals, families and/or their communities through effective partnerships with patients, their caregivers and their physician. Facilitates a shared goal model within an across settings to achieve coordinated high quality care that is patient/family centered.3 days per week 8:00am - 4:30pmPay based on experience starting at $32.10**Responsibilities**Actively participates in data collection and analysis for ACO., Assess patient and family’s unmet health and social needs., Attend all Care Coordination related training and meeting activities., Coach patients/families toward successful self-management of their chronic disease., Coordinates a strategic approach to detect early and manage effectively the patient with chronic disease. Establish an effective internal tracking system for identified patients., Cultivate and support primary care and subspecialty co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals., Develop a care plan based on mutual goals with the patient, family, and provider’s emergency plan, medical summary, and ongoing action plan, as appropriate. Monitor patient adherence to plan of care and progress toward goals in a timely fashion, and facilitate changes as needed., Ensure compliance of 33 Quality Metrics through data abstraction on an ongoing basis. Provides written report of 33 Quality Metrics on a monthly basis to CNO and Providers. Monitors for trends and makes improvements with assistance of Providers as needed., Ensure effective tracking of test results, medication management, and adherence to follow-up appointments., Facilitate and attend meetings between patient, families, care team, payers, and community resources, as needed., Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support specialists (e.g. Diabetes Educator)., Oversight of Medicare Well Visit program and Chronic Care Management program.**Requirements**ADN (Required)BLS or CPR certification (within 90 days of hire) - Sarah Bush Lincoln, RN-Registered Nurse - Illinois Department of Financial and Professional Regulation**Compensation**Estimated Compensation Range$32.10 - $49.76Pay based on experience