An “RN Care Coordinator” coordinates patient transition along the healthcare continuum through assessments, referrals and interdisciplinary planning for the high risk patient population. The Care Coordinator focuses on the education, social needs and on-going interactions with the patient, in the acute, post-acute and outpatient setting. The Care Coordinator works closely with the patient, their support system, physicians, and outside support agencies; such as home health care (HHC) agencies, extended care facilities (ECF), home medical equipment (HME) agencies, etc. The goals of the Care Coordinator are: prevention of avoidable admissions by frequent contact with the patient through phone calls and presence during their physician appointments, education and survival skills on specific diseases, coordination of needs and resources based on individual patient needs, and improvement in the quality of life for patients and their families.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed