RN, Care Coordinator Job Description
RN, care coordinator
provides care coordination services to patients, families, physicians, staff and payers using principles and techniques of case management, utilization management, and outcome measurement.
RN, Care Coordinator Duties & Responsibilities
To write an effective RN, care coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included RN, care coordinator job description templates that you can modify and use.
Sample responsibilities for this position include:
Visiting approximately 6-7 patients per day
Coordinating activities with other health team members to ensure optimal patient care and communication of pertinent findings
Reviewing patient insurance information, identifying appropriate billing source, and billing appropriate insurance based on patient needs
Developing a Plan of Care based on assessment of patient's needs, condition, environment, and consultation with patient’s physician and other health care team members, at the time of initial visit
Implementation and evaluation of individual patient Plan of Care
Providing skilled nursing care that conforms to the organization's policy and procedures and established professional standards of care
Updating Plan of Care at least every 60 days and as necessary
Regularly conducting Case Conferences and maintains communication with Clinical Managers and other members of health care team
Documents care provided as per the organization's policy and procedures
Maintaining an ongoing responsibility for assigned caseload
RN, Care Coordinator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for RN, Care Coordinator
List any licenses or certifications required by the position: CM, BLS, CCM, CPR, AHA, BSN
Education for RN, Care Coordinator
Typically a job would require a certain level of education.
Employers hiring for the RN, care coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Nursing, Management, Education, School of Nursing, Communication, Healthcare, Health, Associates, Science, Graduate
Skills for RN, Care Coordinator
Desired skills for RN, care coordinator include:
Case management
Specialty area
Community resources and patient education principles as a case manager
Utilization management principles and payer contracts into patient plans of care
Community resources
Care management
Authorization changes
Care coordination changes
Complies with accreditation and regulatory requirements
Contract changes
Desired experience for RN, care coordinator includes:
Maintaining productivity standards
Scheduling work load for maximum efficiency
Maintaining a continuing knowledge of competencies related to the Nursing profession by participating in formal education programs, conference, workshops and professional organizations
Participating in Performance Improvement Process, in-services and mandatory meetings
Contact with patients admitted to the hospital or in a skilled nursing facility
Ensure the coordination and communication of a patient's treatment plan and general status to all care givers during all transitions of care
RN, Care Coordinator Examples
1
RN, Care Coordinator Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of RN, care coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for RN, care coordinator
- Direct and implement care coordination plans both in both in-patient and out-patient settings
- Documents received links to authorization or contact note
- Reviews assessment documentation and recommendation to DHS
- Implement, apply, and adhere to departmental audits and auditing tools, workflows, and procedures to monitor turnaround times for processing of requests
- Completing timely initial and reassessments
- Transition of Care
- Following up with patients based on risk scores
- Completing medication reconciliation and continuous medication management
- Delegating appropriately to Medical Social Worker and Care Coordinator
- Lead Integrated Care Team (ICT) in regularly scheduled ICT Meetings
Qualifications for RN, care coordinator
- Proven ability to follow protocol and specific care delivery expectations per sub specialty population
- Communicate with members of the healthcare team to ensure members are receiving services and care
- Perform daily review of inpatient Census
- Provide direction and support to staff to ensure timely collection of data, ongoing provider and member outreach and documentation of outreach activities and outcomes
- Coordinate member access to other services
- Review and assist in the resolution of member grievances within required regulatory timeframes
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RN, Care Coordinator Job Description
Job Description Example
Our growing company is looking for a RN, care coordinator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for RN, care coordinator
- Coordinates with other disciplines to facilitate the patient’s individual needs
- Assists in development, implementation and revision of individual treatment plans
- Communicates with the nursing home physicians, regularly, to evaluate the status of each patient
- Conduct pre-discharge hospital patient visits at the healthcare provider’s request to determine the need and eligibility for mobile integrated care services, introduction to the company upon acceptance of a healthcare provider’s referral, explain available mobile integrated care services to patients and families and complete all necessary risk stratification assessments
- Communicates with the primary care and specialist physicians, regularly, to evaluate the status of each patient
- Access specific portals to obtain data for preparation of reports and prepare reports and other documents to evaluate the progress of quality programs
- Attend CPC+ learning sessions and share information learned to team members
- Under supervision of Director or Care Coordination Lead, communicate results of CAHPS survey to team in appropriate document
- Identify care gaps as defined by quality and value based program metrics through review of payer and program reports, enterprise developed tools
- Schedule appointments related to preventative care and chronic conditions based on identified care gaps
Qualifications for RN, care coordinator
- 1+ year of CHHA experience
- 1+ year of realted experience
- Working knowledge of OASIS / Mckesson
- 1+ year of previous experience in a Field role
- 1+ year of previous Healthcare experience
- Licensed RN in the state of Minnesota, a PHN with 1 year experience, Geriatric Case Manager, or a BSN or RN with 2 years home and community based experience
3
RN, Care Coordinator Job Description
Job Description Example
Our growing company is hiring for a RN, care coordinator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for RN, care coordinator
- Documenting care provided as per the facility's policy and procedures
- Maintaining an ongoing responsibility for assigned caseload and productivity standards
- Collaborate as a team member with other WDI care coordinators/promotores de salud and its providers referring primary care providers throughout the region
- Confers regularly with the WDI executive leadership team, which includes the Clinical Outcomes Leader (COL), to facilitate evidence-based care, improve systems processes, support care coordination, facilitate outcomes management, establish an evolving risk assessment strategy, support the patient experience, strive for ongoing quality improvement, and serve as a role model for interprofessional communication and cross-disciplinary, team-based care delivery
- Assist in research projects involving the IRB-approved diabetes research registry
- Telephonic contact and/or face-to-face with identified patients to facilitate care coordination, assess needs, educate patient regarding their disease management needs
- Perform hands-on assessments and teaching of medication , but no treatment, within the nurse's scope of practice
- Prepare for and attend committee meetings as assigned, departmental and company in-services
- Contacts identified members or providers to explain the program, assess needs, educate regarding the program resources, facilitating physician visits, , and documenting the contact in the appropriate electronic record systems
- Daily review of assigned cases to insure proper status and medical necessity
Qualifications for RN, care coordinator
- 1+ year of Acute
- Must be able to meet DHS requirements for Certified Assessor and MNCHOICES training
- Good computer skills, transportation for home visits, and home Internet hook-up for laptop
- Team focused, Self motivated, able to work independently, outstanding communication
- Completion of accredited Registered Nursing program BSN Preferred
- 3 years in recent active RN practice, preferably caring for patients with complex or chronic conditions
4
RN, Care Coordinator Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of RN, care coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for RN, care coordinator
- Adherence to regulatory standards, including CMS guidelines
- Communication with patients and families
- Collaboration with multidisciplinary team during attendance at daily rounds
- Data management, including LOS and progression of care review
- Responsible for communication of outcomes of appointments to MD's and families
- Reports weekly to the Director of Embedded Care or Medical Director for Quality and Utilization regarding patient status and identifies any potential risk management
- For health plan/other patients receiving complex-integrated care coordination services, conduct a comprehensive assessment, identify problems/issues, establish goals, implement interventions, reassess needs, establish appropriate timeframe for frequency of follow-up activities, and provide closure and referral services, as appropriate
- For health plan/other patients who have been hospitalized, complete transition of care activities on a timely basis
- Provide care coordination for patients aligned with health plan collaborative accountable care agreements or other agreements, as assigned, and comply with associated policies and procedures and contractual requirements
- For BPCI initiative patients, oversee clinical pathway variance tracking and interact with appropriate staff regarding any variances across the continuum of care
Qualifications for RN, care coordinator
- Experience in relevant practice setting requiring coordination of complex care activities, significant independent decision-making & focused action preferred
- Willingness and ability to obtain CCM certification within 18 months of hire required
- At least 1 yr of utilization management experience preferred
- Graduate of an accredited college/university, Associate or Baccalaureate School of Nursing RN
- Perform accurate and timely assessment and concurrent review of outlier admissions using InterQual criteria and document review results in MSR
- Direct discharge planning appropriately
5
RN, Care Coordinator Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of RN, care coordinator. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for RN, care coordinator
- Establishes care needs and goals based on individual care requirements
- Reviews and develops clinical policies and procedures for physician offices
- Communicates with physicians, patients and family members regarding care plans, goals and expected outcomes and monitoring clinical and functional status
- Instructs patients telephonically in Disease Management Programs
- Actively case manages assigned panel of chronic care patients
- Oversees the prevention care reminder program for the practice’s patients, ensuring that patients receive reminders of the need for preventive or disease management screening and testing
- Contacts patients between visits via telephone, email or MyChart to check on self-monitoring, provide encouragement and support, and assess patient progress toward health status goals
- Participates in the process of incorporating evidenced based diagnosis and treatment guidelines into the management of patient panels
- Acts as a resource to assist the Clinic Partners with Medical Home patients who are non-compliant with their plan care
- Introduces new patients to their disease care plan in the Medical home
Qualifications for RN, care coordinator
- Utilization Review/Quality Management experience
- Knowledge of computer databases
- Knowledge of medical diagnosis, care pathways, nursing care, ambulatory care, utilization management, member benefits, and Medicare benefits
- 1+ years of previous Field and/or CHHA experience
- Previous field/CHHA experience
- Of the nursing service programs and activities to submit to such committees