RN Care Coordinator - Interventional Spine
Position Summary: Collaborates with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management, and preventive care services.
All Inclusive Benefits (start day one)
Health/Dental/Vision/Life Insurance, Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.
Responsibilities
Takes the lead in ensuring the continuity and consistency of care across the continuum (inpatient, emergency and ambulatory care/outpatient) to include the facilitation, comprehensive discharge planning and follow-up care.
Develops an effective working relationship with the Patient and Family Counselors/Social Workers and the Utilization Review.
Engages the patient/family to collaborate, advocate, and problem solve to support and enhance their functional ability while ensuring an appropriate and timely discharge plan.
Monitors progress towards discharge plans daily with a priority placed on patients at highest risk for complication, admission, or readmission.
Educates patients and families with chronic illness about evidence-based standards of care to include self‑management strategies.
Identifies support needs for patients and families, develops action plan(s), and provides creative guidance in initiating and overcoming self‑management strategies.
Ensures patients have access to prescriptions, durable medical equipment (DME), and other services as identified.
Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus, and evaluating outcomes of treatment options to include tracking patient progress toward care plan goals and revising the care plan as indicated.
Advocates for patients in order to optimize their health care needs including but not limited to safety, physical and legal and financial well‑being.
Refers patients to education regarding the healthcare delivery and reimbursement systems, prescription drug programs, wellness programs, community agencies, housing options, and other services as appropriate.
Works with available IT resources to facilitate registry reporting and maintenance of specified patient populations to improve disease outcome measures through evidence‑based guidelines and the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders.
Participates in clinical outcome measurement and ensures patient safety in the performance of job functions.
Maintains attendance consistent with Orlando Health policies and compliance with all policies and procedures.
Qualifications
Bachelor of Science in Nursing (BSN) degree.
Current RN license in the State of Florida.
Current BLS/Health Care Provider certification.
Three (3) years of direct clinical experience with an emphasis on the population to be served.