- Benefits from Day One
- Paid Time Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
- Responsible for conducting a systematic post-acute assessment of the physical, psychosocial and functional aspects of the patient and his/her family and their impact on the outcome potential to determine appropriateness for the Home Health and Hospice care setting.
- Inform and educate the patient and family about these post-acute settings, balancing the patient/family requests with what is required to provide safe, reliable, ongoing care for the patient.
- Identify patient/family problems or needs ensuring communication to physician, care management and the clinical team.
- Assist with coordination of home health care referrals within assigned hospital(s). May conduct bedside assessment to determine appropriateness of home or hospice care admission and educates patient/family regarding discharge plan and home care and hospice service expectations.
- After receiving Referral, assist with Intake process including pre-registration requirements for HHC admission.
- Maintains comprehensive working knowledge of managed care along with community resources.
- Completes and submits all documentation in a timely manner according to department policy.
- Responsible for reviewing the discharge plan with Care Management and the clinical transition team from inpatient to post-acute care ensuring systematic handoff between care providers.
- May participates in MDR, care conferences and coordination with Case Management.
- Associate in Nursing or above
- Minimum two years of post-acute (e.g., home health and/or skilled nursing facility and/or hospice clinical experience) or Care Management in a facility experience
- Experience working with the public and exceptional customer service skills
- Knowledge of medical terminology and the post-acute referral process
- Bachelor's degree in medical related field
- Registered Nurse
- Basic Life Support certification
- Valid Florida driver's license, automobile insurance, safe driving record and reliable transportation
- Bachelors of Nursing
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connected care coordinator rn home health - Shawnee Mission, KS , USA, United States - Adventist Health System
Description
Connected Care Coordinator RN Home HealthAll the benefits and perks you need for you and your family:
Our promise to you:
Joining AdventHealth is about being part of something bigger.
It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.
AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.Schedule:
Full Time
Shift :
Day Shift 8am-4:30pm.
Location:
AdventHealth Shawnee Mission to include networking with AH South Overland Park and AH Ottawa
The role you'll contribute:
The Connected Care Coordinator will function as the key patient advocate and educator for coordination of post-acute care services within AdventHealth (AH) owned hospitals.
This person will assist in assessing patients for post-acute care, coordinating the clinical transition to home health and hospice as clinically indicated and into the appropriate post-acute setting.
The Coordinator is responsible for maintaining relationships with physicians, post-acute providers, therapists, patients and families.This Coordinator will be assigned a specific hospital or specialty and is responsible for collaboration with care management, the physicians, and the clinicians to develop a discharge plan requiring post-acute services across AdventHealth continuum of care.
The value you'll bring to the team:
The expertise and experiences you'll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
EDUCATION AND EXPERIENCE PREFERRED:
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
LICENSURE, CERTIFICATION OR REGISTRATION PEFERRED:
Category:
Case Management
Organization:
AdventHealth Shawnee Mission Home Health
Schedule:
Full-time
Shift: - Day
Req ID:
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
