RN-Care Coordinator

The Care Coordinator 3 RN is responsible for providing seamless, coordinated care across the continuum for patients identified as high risk. Responsibilities include: assessing, utilizing protocols, planning, implementing, educating/coaching, referring, coordinating/facilitating medication management, monitoring, evaluating, communicating, collaborating, and negotiating with patients, caregivers, and providers to assure the patient is receiving the right care, in the right place, at the right time.

Assists in conducting health risk assessments (HRAs) and reviews of patient records and/or claims analysis to identify care management and care coordination services Collaborates with other Case Managers, when applicable, to ensure smooth handoffs of patients from case manager to case manager and to all involved caregivers across the continuum Provides and manages care management and care coordination services in a timely, efficient, and cost-effective manner to meet patient-specific clinical and social needs Assists in developing patient care plans and care goals Monitors patient progress in relation to care plans and expected outcomes Actively engage as an integral, collaborative member of the patient's care team Communicates with and disseminates information to the patient, PCP, and other care team members to ensure consistent, seamless, and coordinated care Facilitates care coordiation for the patient across the care continuum, ensuring that the patient is receiving the highest level of quality Advocates consideration of all options available to ensure quality of care in the most cost-efficient manner Refers patients to appropriate and available resources to meet identified needs Supports processes to ensure that appropriate authorizations, referrals, and payor requirements are obtained and met to allow patient care Actively involve patients/caregivers in their healthcare and encourage shared decision making. Documents required clinical, social, financial, or other information using appropriate systems Manages a case load of up to 100 high-risk patients Participates in continuous quality, performance, and outcome assessment and improvement initiatives to ensure the improvement of care management/care coordination and available clinical and social support services Assists in the development of care management tools needed to support the patient population Provides education to patients and caregivers to optimize level of self-care Addresses gaps in care per best practice guidelines, HEDIS measures and clinical guidelines as appropriate Meets the patient face to face when necessary which may include: in the home, in the hospital, or in an ambulatory setting Completes comprehensive assessment of high risk patients within the health system Works closely with the primary care provider and interdisciplinary team to create a plan of care for each patient Completes patient handoffs during appropriate patient transitions of care Communicates telephonically and in person with paneled patients to ensure follow up and understanding of plan of care Documents within EPIC using the department specific templates to ensure minimum documentation standards are met. Participates in a committee or group outside of the department.

Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR); Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: Certificate of Completion: Related Field; Bachelor's Degree: Nursing, Work Experience: Nursing

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois.  We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

 

 

 

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

The compensation range for this position is $31.9per hour - $54.87per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.