Registered Nurse Care Coordinator Primary Care
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About The Position
This RN Care Coordinator position requires 3 years of previous RN work experience. The position will cover Medicaid patients across the Primary Care Network- except New Jersey. This is a newer position and the RN will be working to build their panel of patients. The patients will have at least 2 chronic conditions, which could include Autism, ADHD, Asthma etc. The Nurse will act as the liaison between the Primary Care office and families which will include care management, telephone support and communication with the families. Will include creating care plans for the families with goals, letters of medical necessity. Previous Care or Case management, Peds and Primary Care experience are preferred. Will also consider those with experience in Care or Case management with insurance companies as well. The Regional Nurse Care Coordinator provides care coordination to patients with emergency room and/or hospitalizations across the spectrum from the inpatient to the outpatient setting. Besides the Children's Hospital of Philadelphia, institutions will include all regional hospitals in our service area. S/he will also work closely with the entire primary care team to improve the quality of care delivery, to promote seamless transitions between the inpatient to the outpatient setting, and to optimize communication among care providers. By working directly with families and all care providers, s/he will support the primary care practices in the care coordination functions consistent with Medical Home Concepts to prevent unnecessary emergency room visits, prevent admissions and re-admissions and to promote the ultimate patient and family experience at CHOP. The Regional Nurse Care Coordinator will specifically work with CHOP primary care practices to deliver coordinated care for a subset of patients who are determined to be at highest risk for urgent care and emergency room visits or hospitalizations. This role may work with any patient/family identified as needing care coordination services, or may work with a disease-specific population.
