- Reduce unnecessary hospitalizations and re-hospitalizations by working with patients who were discharged from various healthcare facilities. Work with the primary care team to ensure follow-up visits are scheduled within 48 hours of facility discharge.
- Use Motivational Interviewing and coaching strategies to help patients identify and meet their healthcare goals.
- Develop individualized care plans to help patients track and meet their goals.
- Provide care coordination strategies via telephonic support and/or face-to-face to engage and educate patients.
- Develop and promote constructive relationships with inpatient, outpatient and community personnel to meet patient needs and goals.
- Guide process and performance improvement initiatives in the primary care setting to meet strategic goals.
- Engage with home care agencies, specialists, and any other integral providers or resources in case management activities.
- Prioritize high risk patient needs with physicians, office staff, and the health care team.
- Leverage clinical informatics to identify high risk, high need, and potentially high cost patients of the medical home to manage their care.
- Utilize electronic medical record (EMR) and chronic disease registry reporting to prioritize patient outreach.
- Coordinate with Case Management and Disease Management staff when applicable
- RN licensure required. BSN preferred.
- Certified Case Management (CCM) preferred
- Five to eight years of direct patient care experience required
- Must have experience with Microsoft Office (Word, Excel, PowerPoint).
- Must possess the ability to quickly learn new IT systems and software.
- Must be able to adjust and prioritize tasks in a dynamic environment.
- Experience with an EMR strongly preferred
- Experience analyzing, sorting and drawing conclusions from data strongly preferred.
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Hartford HealthCare Careers Bethlehem, United States Permanent, Full timeDescription · Job Schedule: Full Time · Standard Hours: 40 · Job Shift: Shift 1 · Shift Details: Monday through Friday with scheduled weekends throughout the year · Work where every moment matters. · Every day, over 35,000 Hartford HealthCare colleagues come to work with one th ...
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Mondovi Dental Whitehouse Station, United StatesOverview: · As a Patient Care Coordinator, you'll have a key role in creating positive patient experiences using our innovative G3 approach (Greeting, Guiding, Gratitude). You'll help patients feel welcome and supported whether they are coming in for treatment or calling to sche ...
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American Medical Associates Morristown, NJ , USA, United StatesAmerican Medical Associates - Care Coordinator Needed In Morristown, NJ (LTC) · APPLY TODAY · Salary: $20/hr-$27/hr (based on experience) · Requirements: · • Certification as a Medical Assistant or in a related healthcare field. · • Minimum of 2 years of experience in telemedicin ...
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Mondovi Dental Whitehouse Station, United StatesOverview: · As a Patient Care Coordinator, you'll have a key role in creating positive patient experiences using our innovative G3 approach (Greeting, Guiding, Gratitude). You'll help patients feel welcome and supported whether they are coming in for treatment or calling to sche ...
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Progressions Feasterville-Trevose, United StatesJob DetailsLevelExperiencedJob LocationTrevose - Feasterville Trevose, PAPosition TypeFull TimeEducation Level2 Year DegreeSalary Range$ $18.00 HourlyTravel PercentageUp to 25%Job ShiftDayJob CategoryHealth CareDescriptionPosition Summary:As the Care Coordinator at Malvern Commun ...
rn care coordinator - Flemington, NJ , USA, United States - Hunterdon Healthcare
Description
RN Care Coordinator # This innovative position places the registered nurse (RN) in a Care Coordinator role partnering with primary care providers.# The majority of our primary care practices are certified Patient-Centered Medical Homes (PCMH).#
The Medical Home Care Coordinator is a vital part of the multidisciplinary healthcare team which strives to coordinate care and optimize outcomes for patients and our healthcare system.
# # Care Transition Coaching and Coordination ####### Reduce unnecessary hospitalizations and re-hospitalizations by working with patients who were discharged from various healthcare facilities.# Work with the primary care team to ensure follow-up visits are scheduled within 48 hours of facility discharge. ####### Use Motivational Interviewing and coaching strategies to help patients identify and meet their healthcare goals. ####### Develop individualized care plans to help patients track and meet their goals.####### Provide care coordination strategies via telephonic support and/or face-to-face to engage and educate patients.#### ####### Develop and promote constructive relationships with inpatient, outpatient and community personnel to meet patient needs and goals.
####### Guide process and performance improvement initiatives in the primary care setting to meet strategic goals.# ####### Engage with home care agencies, specialists, and any other integral providers or resources in case management activities.
Population Management ####### Prioritize high risk patient needs with physicians, office staff, and the health care team.####### Leverage clinical informatics to identify high risk, high need, and potentially high cost patients of the medical home to manage their care.# ####### Utilize electronic medical record (EMR) and chronic disease registry reporting to prioritize patient outreach.
# ####### Coordinate with Case Management and Disease Management staff when applicable # QualificationsEducation/Experience:
####### RN licensure required.# #BSN preferred. ####### Certified Case Management (CCM) preferred ####### Five to eight years of direct patient care experience required ####### Must have experience with Microsoft Office (Word, Excel, PowerPoint).# ####### Must possess the ability to quickly learn new IT systems and software.# ####### Must be able to adjust and prioritize tasks in a dynamic environment. ####### Experience with an EMR strongly preferred ####### Experience analyzing, sorting and drawing conclusions from data strongly preferred. #
RN Care Coordinator
This innovative position places the registered nurse (RN) in a Care Coordinator role partnering with primary care providers. The majority of our primary care practices are certified Patient-Centered Medical Homes (PCMH).
The Medical Home Care Coordinator is a vital part of the multidisciplinary healthcare team which strives to coordinate care and optimize outcomes for patients and our healthcare system.
Care Transition Coaching and CoordinationEducation/Experience:
