We’re committed to outstanding patient care and high customer service, providing a caring environment for patients and families.
Role
The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, coordinating the Plan of Care, and providing clinical, palliative, and supportive care to keep participants in their home environment as long as possible.
Qualifications
Current RN license in the state of employment
Minimum 1 year nursing experience; hospice or hospital experience preferred
Experience with EMR/EHR system
Valid driver’s license and automobile insurance
Reliable transportation for home visits
Ability to use equipment with visual and auditory mechanisms
Excellent verbal and written English communication
Ability to visit participants in their homes for assessments
Physical ability to lift patients/equipment, bend, push/pull, kneel, etc.
Active Basic Life Support (BLS) certification from AHA or Red Cross
Responsibilities
Provides and manages direct care to patients and families as part of an Interdisciplinary Team (IDT)
Coordinates individualized Plan of Care based on evolving patient needs
Educates patients/families/health professionals about disease process, prevention, palliative care, etc.
Conducts home visits to assess safety, medication compliance, nutritional and DME compliance
Communicates changes in patient condition to IDT and other health professionals
Participates in daily IDT meetings and collaborates on patient evaluations (hospice referrals, level of care)
Supervises Community Health Workers and Home Health Aides as needed
Responds to emergencies and may be required to work at alternative locations during lockdowns
Provides SBAR communication and performs other duties as assigned
Additional Duties (as Needed)
Reassures patients/families over the phone, coordinates in-person visits, utilizes appropriate resources
Documents contact info and care plans in EMR
Physical Demands
Must be able to stand, sit, reach, lift, bend, balance, push, pull, kneel, climb stairs as needed
Drug & Alcohol Testing
This position requires consent to drug and alcohol testing after a conditional offer and ongoing compliance with the Drug‑Free Workplace Policy.
Employment Details
Seniority level: Entry level
Employment type: Full‑time
Job function: Health Care Provider
Industry: Hospitals & Health Care, Non‑profit Organizations, Mental Health Care