RN - Patient Care Coordinator

MedAmerica • Hartford, CT

6h • Remote

About The Position

Remote, Nationwide – Seeking RN – Patient Care Coordinator
Everybody Has A Role To Play In Transforming Healthcare
At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.
Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
Collaborate with the multidisciplinary healthcare teams to develop comprehensive care plans tailored to individual patient needs and preferences.
Collaborate in interdisciplinary meetings to discuss patient progress, treatment plans, and discharge planning.
Conduct routine rounds to assess patient status, identify emerging issues, and address immediate care needs.
Collaborate with physicians, specialists, and other healthcare providers regarding the plan of care with a focus on discharge planning.
Actively participate in plan of care meetings to facilitate communication amongst the patient care multidisciplinary team.
Act as a liaison between the provider group and other members of the health care team with a focus on Case Management and nursing allowing the provider to function at the highest level of the scope of their role.
Collaborate with members of the patient care team in the patient discharge planning process for safe discharge planning and optimal patient outcome.
Assist in tracking the provider team’s metric performance to support contract retention and incentive metric capture.
Assist in identifying and mitigating barriers to discharge, working with all members of the multidisciplinary care team.
Facilitate communication as a point of contact for the provider team with other disciplines.
Foster effective communication and collaboration among healthcare team members to promote seamless care delivery.
Serve as a resource and mentor for nursing staff, providing guidance on best practices in patient care coordination and rounding.
Communicate with patients and families in a clear, empathetic manner, addressing questions, concerns, and preferences sensitively.
Collaborate with case managers, social workers, and community resources to facilitate post-discharge care transitions and continuity of care.
Participate in quality improvement initiatives and interdisciplinary committees to enhance patient care processes and outcomes.
Promote and maintain the mission, values and culture of Vituity.
Provide leadership in assessing common or overlapping needs and identifies opportunities for consolidation or optimization in delivery.
Advise colleagues and leadership in navigating and utilizing Vituity resources to implement products and services as needed.
Provide leadership, planning, implementation, and management of performance and quality improvement programs that help assess and improve operational performance, contract stability, patient satisfaction, financial viability, and knowledge dissemination for the practice line.
Collaborate with leadership on project objectives and deliverables.
Support incentive structures related to finance, and quality.

Requirements

• Current licensure as a Registered Nurse in the state of practice required.
• 2-3 years of clinical nursing experience in a healthcare setting, with demonstrated proficiency in care coordination and direct patient care required.
• Comprehensive understanding of nursing principles, procedures, and practices relevant to patient care coordination.
• Proficiency in assessing patient needs, developing care plans, and implementing interventions to promote optimal health outcomes.
• Strong organizational skills and attention to detail, with the ability to prioritize tasks and manage multiple responsibilities effectively.
• Excellent interpersonal and communication skills, with the ability to interact professionally with patients, families, and healthcare team members.
• Proficiency in electronic health record systems and other healthcare technology platforms.
• Commitment to continuous learning and professional development in the field of nursing and care coordination.
• Leadership qualities that inspire and motivate team members, foster a collaborative work environment, and promote a culture of excellence in patient care coordination.
• Ability to work collaboratively with healthcare professionals from diverse backgrounds and disciplines, demonstrating respect, professionalism, and cultural competence.
• Ability to effectively collaborate with interdisciplinary teams, including physicians, therapists, social workers, and case managers, to coordinate and manage patient care transitions.
• Knowledge of community resources and support services available to patients and families to facilitate continuity of care and promote holistic well-being.
• Ability to problem solve, using diverse organizational toolsets to recognize root causes at sites and pull needed resources to resolve problems.
• Effective communication at all levels with a focus on ability to have high level communication with site leaders on all levels.

Responsibilities

• Collaborate with the multidisciplinary healthcare teams to develop comprehensive care plans tailored to individual patient needs and preferences.
• Collaborate in interdisciplinary meetings to discuss patient progress, treatment plans, and discharge planning.
• Conduct routine rounds to assess patient status, identify emerging issues, and address immediate care needs.
• Collaborate with physicians, specialists, and other healthcare providers regarding the plan of care with a focus on discharge planning.
• Actively participate in plan of care meetings to facilitate communication amongst the patient care multidisciplinary team.
• Act as a liaison between the provider group and other members of the health care team with a focus on Case Management and nursing allowing the provider to function at the highest level of the scope of their role.
• Collaborate with members of the patient care team in the patient discharge planning process for safe discharge planning and optimal patient outcome.
• Assist in tracking the provider team’s metric performance to support contract retention and incentive metric capture.
• Assist in identifying and mitigating barriers to discharge, working with all members of the multidisciplinary care team.
• Facilitate communication as a point of contact for the provider team with other disciplines.
• Foster effective communication and collaboration among healthcare team members to promote seamless care delivery.
• Serve as a resource and mentor for nursing staff, providing guidance on best practices in patient care coordination and rounding.
• Communicate with patients and families in a clear, empathetic manner, addressing questions, concerns, and preferences sensitively.
• Collaborate with case managers, social workers, and community resources to facilitate post-discharge care transitions and continuity of care.
• Participate in quality improvement initiatives and interdisciplinary committees to enhance patient care processes and outcomes.
• Promote and maintain the mission, values and culture of Vituity.
• Provide leadership in assessing common or overlapping needs and identifies opportunities for consolidation or optimization in delivery.
• Advise colleagues and leadership in navigating and utilizing Vituity resources to implement products and services as needed.
• Provide leadership, planning, implementation, and management of performance and quality improvement programs that help assess and improve operational performance, contract stability, patient satisfaction, financial viability, and knowledge dissemination for the practice line.
• Collaborate with leadership on project objectives and deliverables.
• Support incentive structures related to finance, and quality.

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25
• Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP, travel assistance, and identify theft included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed