RN Care Coordination

45 Fayette County Hospital; United States; On-site; USD 44,220 - 68,549; Part time

Job summary

Sarah Bush Lincoln is seeking an RN for Care Coordination to coordinate team-based care across settings, partnering with patients, families, and physicians to achieve high-quality, patient-centered outcomes.

The role is three days per week from 8:00am to 4:30pm, with pay based on experience starting at $32.10 per hour and a compensation range up to $49.76 per hour, depending on experience. Career development and on-site training are provided.

Qualifications

• ADN required.
• BLS or CPR certification within 90 days of hire.

Responsibilities

• Actively participates in data collection and analysis for ACO.
• Assess patient and family’s unmet health and social needs.
• Coach patients/families toward successful self-management of chronic disease.
• Coordinate a strategic approach to detect and manage patients with chronic disease.
• Establish an efficient internal tracking system for identified patients.
• Facilitate care coordination with providers, payers and community resources.

Skills

Care coordination

Data analysis

Chronic disease management

Patient education

Education

ADN

Job description

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 - 4:30pm

Pay 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 - $49.76 Pay based on experience

When you come to work for Sarah Bush Lincoln or Fayette County Hospital Long Term Care, you have our commitment to help make this the best work experience of your life. Career development is available through continuing education and on-site training, so come grow with us! We are striving to be the employer of choice in the area. Employees reap the benefit of our work culture which is steeped in professional and personal development programs. We have developed a solid benefit package to help retain our employees, while providing them opportunities to grow their careers. We support on-site classroom learning programs and internet courses, and we have a generous tuition reimbursement program-- all designed to help staff achieve their goals.