About The Position

About the position - M - F 8 - 5pm The Nurse Care Coordinator organizes team-based care planning to provide support and comprehensive health services to individuals, mainly focusing on individuals with higher risk and complex needs, through effective partnerships with patients, their caregivers/families, community resources, and their healthcare providers. Performs short term transitional care activities and longer-term care planning for complex patients through facilitation of a shared care plan across the continuum of care to achieve well-coordinated, timely, cost effective, high-quality care that is patient and family centered.

Requirements

  • Graduate of an accredited school of nursing.
  • Current New Hampshire, compact, or multistate licensure as Registered Nurse, Required
  • 5+ years nursing experience in acute, skilled nursing, community health and/or ambulatory setting, Required

Nice To Haves

  • Bachelor of Science in Nursing, Preferred
  • Specialty Certification i.e. ambulatory nursing, CCM, CCTM, Guided care, CHCQM, Preferred

Responsibilities

  • Manages a panel of active patients requiring complex care management and care coordination support
  • Collaborates with the multidisciplinary team, including the patient and their family, to design and implement holistic individualized plans of care for patients enrolled in care coordination programs
  • Communicates necessary and important information to physicians, supervisors, patients, and staff
  • Assess patient and family’s unmet health and social needs as well as health literacy and identifies strategies to resolve needs
  • Provides care coordination support across settings and transitions of care including discharges from acute and post-acute settings, specialty settings and provider transitions

Benefits

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, Accident insurance, & life insurance
  • Tuition Reimbursement
  • Referral bonuses
  • Accrued earned time for full-time & part-time employees
  • 403b Retirement plans, with generous employer contributions
  • And more!
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