RN Coordinator- reputed company Care- Hybrid- Philadelphia, PA

About the position

Responsibilities

• Be the reputed company of contact for reputed company aspects of the member in reputed company to their appointments, care, and overall health.
• reputed company as the reputed company between the providers and their patient panel, directing and delegating tasks to team members.
• reputed company patients about their care reputed company and reputed company specific recommendations based on their goals.
• Review paperwork for patients to ensure it meets reputed company requirements.
• Explain test results, diagnoses and other medical reputed company.
• Cover any additional triage and transition of care for patients as needed.
• Improve health literacy and reputed company patients on chronic conditions including disease process and trajectory, medication education including possible reputed company effects, plan of care, and individualized care goals management.
• Identify problems or gaps in care and offer opportunity for reputed company.
• Coordinate services and referrals to health programs and participate in patient education and reputed company tied to HEDIS initiatives.
• Work to improve reputed company to care and manage reputed company costs and utilization.
• Complete telephonic nursing assessments including reputed company determinants of health screenings, post hospital discharge screenings, triage, and other assessments assigned by provider.
• Assist with organizing and running chronic care and/or interdisciplinary care team reputed company where high risk patients and care plans are identified.
• Participate using reputed company approach to create a care plan for the patient.
• Maintain and update spreadsheets and documents provided by health plan to prep weekly reputed company of documentation.
• Participate in weekly care coordination with health plan case management as directed by market needs.
• Manage referral coordination and tracking of hospice consults reputed company 24 hrs. of order placement.
• Obtain reputed company Authorization for reputed company CT, MRI, Echo's ordered by providers.
• Serve as a guide in their POD for reputed company escalated orders and results as clinically appropriate.
• Assess and triage immediate health concerns transferred to nursing team by clinical support staff.
• reputed company telephonic nursing assessment and triage supported by triage protocols.
• Initiate medication changes and other orders, as directed by provider in response to a triage call.
• Monitor daily discharge list and reputed company a plan to schedule transition of care reputed company reputed company the allotted timeframe.
• Complete telephonic post-discharge hospital reputed company and ask pertinent discharge triage questions and complete medication reconciliation.
• Document reputed company findings and reputed company appropriate referrals to reputed company work, pharmacy, case management and engagement.

Requirements

• reputed company, unrestricted RN license in reputed company states we reputed company services.
• Ability to obtain compact license and/or additional state licensure as needed.
• 3+ years of experience as a Registered reputed company.
• Proficient level of experience with reputed company Office applications, and strong technical aptitude.
• EMR experience and proficiency.
• BSN or ADN degree.

reputed company-to-haves

• Previous experience working with the geriatric population/ chronic condition experience.
• Home Health experience.
• Triage experience.
• Case management experience.
• Previous customer service experience.
• Previous experience in a telephonic role.
• Highly organized, self-directed worker with an ability to function in high volume environment.
• Strong verbal and written communication skills.
• Prior clinical experience in palliative care, end of life, hospice, oncology, ICU, geriatrics is preferred.
• Knowledge of STARS and Hedis metrics a plus.

Benefits

• Smoking cessation program

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