Villages Team Monday-Thursday RN Care Coordinator

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Qualifications:

• Current license as RN in the state where the employee will be working
• Minimum of one (1) year nursing experience; hospice or hospital experience preferred
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
• Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred
• Mobile Driver - Valid driver’s license and automobile insurance per Company policy
• Reliable transportation to meet patients’ needs
• Excellent critical decision making and problem-solving skills
• Excellent clinical and assessment skills
• Ability to use equipment with visual and auditory mechanisms
• Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines
• Ability to effectively handle stressful situations professionally and calmly with exceptional customer service
• Strong patient service skills
  • Information seeking / probing skills
  • Accurate knowledge transfer
  • Listening, understanding, and responding
• Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits
• Ability to work in a cooperative team environment 
• Able to exhibit a sense of urgency in daily work activities
• Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills
• Available to work shifts to accommodate extended hours of operation as scheduled
• Ability to perform sedentary work with frequent interruptions
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations
• Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Some locations may require:

• Completes clinical admissions for all Company services including, but not limited to:
  • Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner 
  • Identifies admission objections, concerns or other entry barriers and provides responses
  • Educates patient/family on admission requirements and addresses immediate needs
  • Completes informed consents and initial assessment according to regulations and Company policy
  • Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs
  • Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
  • Obtains Physician orders
  • Completes documentation per Company policy

• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with Admissions to ensure timely follow-up.  When assignment is complete, informs Admissions and prepares for next assignment.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
• Obtains medical record information for the referral.
• Develops strong relationships with case managers, physicians, etc. at facilities.
• Works with Professional Relations Representatives (PRRs) to provide education on all available services.
• Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.

Competencies: