RN Care Coordinator | OBGYN- Clinical

Overview:

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.

• 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.

• Experience Requirements: 5 years-Minimum of three years nursing experience
  -required.
• Ambulatory care setting - preferred.

Bachelors - Nursing - Preferred

Additional duties as assigned may vary.