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RN Care Coordinator - Ambulatory Care Coordination - Full Time

Southern New Hampshire Health
Full-time
On-site
Manchester, New Hampshire, United States
About the position - M - F 8 - 5pm
The Nurse Care Coordinator organizes team-based care planning to provide support and comprehensive health services to individuals, mainly focusing on individuals with higher risk and complex needs, through effective partnerships with patients, their caregivers/families, community resources, and their healthcare providers. Performs short term transitional care activities and longer-term care planning for complex patients through facilitation of a shared care plan across the continuum of care to achieve well-coordinated, timely, cost effective, high-quality care that is patient and family centered.

Responsibilities

Manages a panel of active patients requiring complex care management and care coordination support

Collaborates with the multidisciplinary team, including the patient and their family, to design and implement holistic individualized plans of care for patients enrolled in care coordination programs

Communicates necessary and important information to physicians, supervisors, patients, and staff

Assess patient and family’s unmet health and social needs as well as health literacy and identifies strategies to resolve needs

Provides care coordination support across settings and transitions of care including discharges from acute and post-acute settings, specialty settings and provider transitions

Requirements

Graduate of an accredited school of nursing. Bachelor of Science in Nursing, Preferred

Current New Hampshire, compact, or multistate licensure as Registered Nurse, Required

Specialty Certification i.e. ambulatory nursing, CCM, CCTM, Guided care, CHCQM, Preferred

5+ years nursing experience in acute, skilled nursing, community health and/or ambulatory setting, Required

Why You’ll Love Us

Health, dental, prescription, and vision coverage for full-time & part-time employees

Short term, long term disability, Accident insurance, & life insurance

Tuition Reimbursement

Referral bonuses

Accrued earned time for full-time & part-time employees

403b Retirement plans, with generous employer contributions

And more!

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