RN Care Coordinator Dyp

Covenant Health•Lewiston, ME

23d

About The Position

Under the guidance of the Director of Nursing, the Care Coordinator assesses admission referrals from acute care settings and other facilities. The role evaluates patients’ skilled and long-term care needs, verifies eligibility and benefits, and ensures potential admissions align with organizational strategic goals. The Care Coordinator coordinates with patients, their significant others, the interdisciplinary team, physicians, and external agencies to support appropriate admissions, individualized care planning, patient safety, and discharge planning. The position supports and promotes the mission and values of Covenant Health Ministry and performs other duties consistent with the role.

Requirements

Valid State of Maine Licensed Practical Nurse credential.
BCLS.
Ability to speak clearly and to read, write, and comprehend English, including written instructions.
Customer service, interpersonal, and organizational skills.
Computer skills.
Mathematical skills.
Medical terminology required.
Ability to multitask and make decisions under pressure.
Ability to work independently and as part of a team.
Flexibility to provide coverage 24 hours a day, 7 days a week.
May be asked to float to other units.

Nice To Haves

Knowledge of geriatric care is desired.
0–1 year of experience working with geriatric patients is desired.

Responsibilities

Analyze clinical and financial data to identify suitable patients for placement in accordance with organizational strategies.
Respond promptly to referring facilities after assessing whether placement is appropriate.
Gather medical, financial, and social information needed to establish patient care.
Share admission information with the d’Youville team as needed and consult the medical team about referrals when necessary.
Collaborate with patients and their significant others to establish admission goals and care plans.
Develop and regularly update individualized, multidisciplinary care plans using age-specific knowledge.
Review and document discharge plans and instructions with patients, and initiate referrals to available resources as needed.
Conduct patient follow-up calls and administer satisfaction surveys to assess quality and satisfaction.
Liaise with external agencies and coordinate with the interdisciplinary team to support successful admissions.
Prepare for patient needs, including medications, IV therapy, and equipment, while following clinical standards and policies.
Maintain familiarity with acceptable admission diagnoses and reimbursement requirements.
Promote patient safety through infection-control measures and appropriate equipment use.
Manage crisis periods calmly and coordinate discharge needs across disciplines.
Verify managed-care rates and insurance coverage, and obtain pre-certification for necessary equipment.
Complete referral documentation and collect and prepare patient information for relevant departments.
Document nursing actions, observations, and patient responses, and report changes promptly and accurately.
Make referrals to external resources and communicate admission and discharge information to departments and physicians.
Attend department meetings, serve as a resource, and provide education in areas of expertise.
Keep informed about developments in the field and maintain education and training logs.
Follow infection-control practices, use gait belts as needed, and attend safety education sessions.
Understand and articulate organizational safety goals.
Support and promote the mission and values of Covenant Health Ministry.
Perform other duties consistent with the role.