Overview
Responsibilities
Qualifications
In collaboration with Genetic providers and team, provides coordination of care and patient education for patients in the inpatient and outpatient setting. The RN Care Coordinator will evaluate all aspects of care to ensure defined, consistent care is provided to patients at every level of disease, and will coordinate between subspecialty and primary care services and community resources.
Responsibilities
Collects and assesses patient data to determine patient
needs and to promote optimal care. Coordinate transfer of
patient records. Calls and follows up with patients after
surgery.
Assist with follow-up on prior authorizations and other
pending approvals for services.
Assumes responsibility and accountability for the
implementation of interventions based on the medical plan of
care and patient's current condition.
Plans and implements age appropriate care based on
assessment, diagnosis, standard of care, medical treatment
plan, and progress toward desired outcome. Assesses
individual physical, psychosocial and developmental needs of
patients.
Coordinates education and guidance for the patient and
significant others to maximize the achievement of the
expected outcomes.
Review and prioritize all EPIC in basket tasks and address
urgent tasks as appropriate.
Review and prioritize all faxes and address urgent faxes as
appropriate.
Link and provide support to other staff with issues related to
Medicaid and other managed care plans, Agency of Persons
with Disabilities, Home Health Agencies and durable medical
equipment companies.
Call patients who miss appointments to identify barriers and
reschedule.
Monitor patient ER/hospital admissions, follow patients while
in hospital and participate in their discharge planning
meetings.
Qualifications
Experience Requirements: 5 years-Minimum of three years nursing experience -required.
Ambulatory care setting - preferred
Education: Bachelors - Nursing - Preferred Additional Duties: Additional duties as assigned may vary.
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