Patient Care Coordinator (RN)
General Summary of Duties:
Under the direction of the Clinical Manager, is responsible for oversight of patient care via support and education of clinical staff.
Evaluates patient care provided by clinicians through conferences, home visits and record review.
Supervision Received:
Reports directly to Clinical Manager.
Education:
Graduate of an accredited school of nursing with a Bachelor's Degree preferred.
Experience:
Three to five years of Home Health experience is required.
Case Management experience is required.
Excellent working knowledge of OASIS and related outcomes and PPS required.
Certification in OASIS preferred.
Certificate/License:
Possession of a current license to practice as a Registered Nurse in the State of Connecticut.
Essential Duties:
(This list may not include all of the duties assigned.
) In addition to the following essential position competencies, other competencies may be required to meet the organizational needs.
1 Oversees care plan development:
Reviews proposed Plan of Care via phone conferences and advised clinician on appropriateness and makes recommendations as needed.
Receives verbal report for all OASIS timepoints.
Coordinates/approves all revisions to the Plan of Care.
Ensures patient goals are appropriate, meaningful and obtainable.
Advises case manager on POC adjustments based on home visit observations or case conference discussions.
Provides final approval and signs Plans of Care following review by the OASIS Specialist.
2.
Instructs and guides clinicians to promote more effective performance and delivery of quality Homecare services:
Makes recommendations for efficient and effective utilization of resources to achieve positive patient outcomes.
Assess various skill competencies during observed home visits.
Performs OASIS walk during joint home visits for each case manager at least quarterly or as needed.
Assists in the orientation of staff to the clinical information system by performing joint visits to facilitate proficiency in computerized documentation.
3.
Ensures that clinical documentation and insurance requirements are met:
a) Communicates routinely with field staff to ensure timely and appropriate delivery of care.
Makes recommendations to Clinical Manager regarding employee performance and identifies opportunities for staff development.
Conducts Case Conferences as indicated:
New admissions Recertification's or discharges planned in the next 10-15 days.
Resumption of care Prioritized cases weekly (high risk, problem prone or complex) Includes multidisciplinary providers when appropriate.
May be conducted via phone 4.
Develops and maintains sufficient professional skills and credentials to meet the need of patient care:
Attends a minimum of 12 hours of in-service per year to include mandated annual in-services.
Participates actively in self-appraisal and the formation of a plan of self-development.
Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.
d) Projects professional image through attitude and compliance with dress code.
e) Functions as a team member with consideration to all staff.
f) Provides Agency with current copy of professional license.
g) Maintains CPR certification.
5.
Performs other duties as necessary to support Agency programs as assigned by the Clinical Manager:
a) Agency committees as requested.
b) Flu/special clinics as needed.
c) Special Agency or community programs during and/or after regular working hours.
Provides intermittent nursing service to patients in order to meet the needs of the Agency.
Knowledge, Skills and Requirements:
Knowledge of Agency policies and principles.
Capable of implementing Agency's goals and directions.
Knowledge of communities served.
Competent in clinical health principles.
Knowledge of state and federal regulations and accreditation standards.
Ability to work positively with staff:
peers, subordinates and superiors.
Ability to function independently, within scope of responsibility.
Possess adequate transportation to carry out job requirements.
Must show proof of satisfactory automobile insurance with minimum coverage of $50,000/100,000 as determined by Agency policy.
Recommended Skills Cpr Case Management Certified Nurse Practitioner Clinical Works Health Care Health Insurance Portability And Accountability Act (Hipaa) Compliance Estimated Salary: $20 to $28 per hour based on qualifications.
Under the direction of the Clinical Manager, is responsible for oversight of patient care via support and education of clinical staff.
Evaluates patient care provided by clinicians through conferences, home visits and record review.
Supervision Received:
Reports directly to Clinical Manager.
Education:
Graduate of an accredited school of nursing with a Bachelor's Degree preferred.
Experience:
Three to five years of Home Health experience is required.
Case Management experience is required.
Excellent working knowledge of OASIS and related outcomes and PPS required.
Certification in OASIS preferred.
Certificate/License:
Possession of a current license to practice as a Registered Nurse in the State of Connecticut.
Essential Duties:
(This list may not include all of the duties assigned.
) In addition to the following essential position competencies, other competencies may be required to meet the organizational needs.
1 Oversees care plan development:
Reviews proposed Plan of Care via phone conferences and advised clinician on appropriateness and makes recommendations as needed.
Receives verbal report for all OASIS timepoints.
Coordinates/approves all revisions to the Plan of Care.
Ensures patient goals are appropriate, meaningful and obtainable.
Advises case manager on POC adjustments based on home visit observations or case conference discussions.
Provides final approval and signs Plans of Care following review by the OASIS Specialist.
2.
Instructs and guides clinicians to promote more effective performance and delivery of quality Homecare services:
Makes recommendations for efficient and effective utilization of resources to achieve positive patient outcomes.
Assess various skill competencies during observed home visits.
Performs OASIS walk during joint home visits for each case manager at least quarterly or as needed.
Assists in the orientation of staff to the clinical information system by performing joint visits to facilitate proficiency in computerized documentation.
3.
Ensures that clinical documentation and insurance requirements are met:
a) Communicates routinely with field staff to ensure timely and appropriate delivery of care.
Makes recommendations to Clinical Manager regarding employee performance and identifies opportunities for staff development.
Conducts Case Conferences as indicated:
New admissions Recertification's or discharges planned in the next 10-15 days.
Resumption of care Prioritized cases weekly (high risk, problem prone or complex) Includes multidisciplinary providers when appropriate.
May be conducted via phone 4.
Develops and maintains sufficient professional skills and credentials to meet the need of patient care:
Attends a minimum of 12 hours of in-service per year to include mandated annual in-services.
Participates actively in self-appraisal and the formation of a plan of self-development.
Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.
d) Projects professional image through attitude and compliance with dress code.
e) Functions as a team member with consideration to all staff.
f) Provides Agency with current copy of professional license.
g) Maintains CPR certification.
5.
Performs other duties as necessary to support Agency programs as assigned by the Clinical Manager:
a) Agency committees as requested.
b) Flu/special clinics as needed.
c) Special Agency or community programs during and/or after regular working hours.
Provides intermittent nursing service to patients in order to meet the needs of the Agency.
Knowledge, Skills and Requirements:
Knowledge of Agency policies and principles.
Capable of implementing Agency's goals and directions.
Knowledge of communities served.
Competent in clinical health principles.
Knowledge of state and federal regulations and accreditation standards.
Ability to work positively with staff:
peers, subordinates and superiors.
Ability to function independently, within scope of responsibility.
Possess adequate transportation to carry out job requirements.
Must show proof of satisfactory automobile insurance with minimum coverage of $50,000/100,000 as determined by Agency policy.
Recommended Skills Cpr Case Management Certified Nurse Practitioner Clinical Works Health Care Health Insurance Portability And Accountability Act (Hipaa) Compliance Estimated Salary: $20 to $28 per hour based on qualifications.
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