Health Care Coordinator Job at Dewolfe Place (Sheboygan)

Coordinator of Care RN (Community Health Nurse) - Home Care CHHA

MJHS Home Care provides advanced clinical services and emotional support to pati...

Location

United States , Brooklyn

Salary:

112000.00 - 134100.00 USD / Year

MJHS

Expiration Date

Until further notice

Requirements

Excellent clinical assessment skills
Strong ability to solve problems independently and interact with an integrated team
Current NYS RN license and registration
Bachelor’s degree in nursing preferred
Minimum of one year acute medical-surgical nursing experience
CHHA experience preferred
Driver license and car required

Job Responsibility

Create the initial comprehensive and interdisciplinary patient centered home health plan of care
update the home health plan of care in collaboration with the physician
Effectively case manage the care and services for assigned patients resulting in positive clinical outcomes and minimized risks of rehospitalization
Supports agency established financial goals
Demonstrate expert knowledge unique to the practice of community health nursing
Provide a full range of advanced clinical home care services, including patient assessment, medication management and patient/family education
Assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients
Review patient insurance information, coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers

What we offer

Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff
Generous paid time off, including your birthday
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
$15,000 Sign-On Bonus or Student Loan Assistance
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Fulltime

LPN-Health Care Coordinator

Responsible for providing overall leadership and management of the health and we...

Location

United States , Sheboygan

Salary:

Not provided

Dewolfe Place

Expiration Date

Until further notice

Requirements

Maintains current state license as a Licensed Professional Nurse or a Professional Registered Nurse per state regulations
Experience in assisted living, home health or long-term care industries
Two (2) years experience as a Licensed Nurse
One (1) year nursing management experience
Must demonstrate competence in assessment skills, injections/medication administration, follow up and triage
Proficiency in computer skills, Microsoft Office and ability to learn new applications
Must demonstrate an interest in working with a senior population
Ability to handle multiple priorities
Ability to delegate assignments
Competent in organizational and time management skills

Job Responsibility

Ensures that community follows all federal, state, local laws and regulations as it pertains to clinical care
Responsible for collecting, analyzing, and reporting occurrence trends, and if necessary, develop/implement improvement plans
Partners with Administrator and other team members to analyze and maintain all resident and team member health safety
Partners with pharmacy consultant to provide optimal pharmaceutical services to residents
Responsible for infection control programming in community
Responsible for the safe and efficient distribution/administration of injections, nebulizers, moderate wound care per state regulations
Identifies ongoing needs and services of residents through the assessment/Service Plan process including documentation for residents with a change in health care status
Responsible for the completion of the monthly updates and reporting to the responsible party
Partners with other department coordinators to identify, review, and discuss potential change in service/medication levels and updates the resident’s service plan as indicated by state regulations
Participates in community awareness activities and community relations

Licensed Nurse Care Coordinator - Population Health

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuit...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma required
Minimum of 3 years of clinical or home health experience required
LVN/LPN in the state of employment and/or compact licensure required
Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred
Knowledge of physician office practice operations and one year of experience in physician practice preferred
Proficiency in keyboarding and EHR systems, primarily Epic.

Job Responsibility

Identify quality gaps and participate in Quality Improvement Programs as indicated
Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments
Conduct telephonic outreach on behalf of providers to close care gaps & address medication adherence
Provide counseling and health education to patients and families
Serve as a subject matter expert in care transitions & quality metrics
Assist in educating practice staff on quality, payor, and government program requirements
Communicate resources and services available to patients through the continuum of care
Escalate health concerns to Primary Care providers and place referrals to appropriate care team members
Develop professional working relationships with ACO and CIN network providers
Document relevant, comprehensive information and data using standard assessment tools

Fulltime

Patient Care Coordinator - Vision Health

Patient Care Coordinator - Vision Health. Are you passionate about providing exc...

Location

United States , Tumwater

Salary:

17.50 - 20.00 USD / Hour

Keplr Vision

Expiration Date

Until further notice

Requirements

1+ year of customer service experience
Strong communication skills with the ability to interact professionally and courteously with patients
Tech-savvy with basic computer skills and the ability to learn new systems quickly
A positive, can-do attitude and the ability to stay organized under pressure

Job Responsibility

Be the friendly voice on the phone, assisting patients with scheduling and inquiries
Greet and check in patients with a warm smile and professional demeanor
Manage a variety of front desk tasks with efficiency and attention to detail
Ensure smooth patient flow through excellent time management and multitasking skills

What we offer

Career growth opportunities
Upward mobility
Supportive, team-oriented environment

Fulltime

Licensed Vocational Nurse Care Coordinator - Population Health Admin

Provides care under the direct supervision of the Population Health Director of ...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Vocational/technical school graduate
Basic LVN Nursing skills
Knowledge of lab procedures and diagnostic testing
Ability to write clear documentation and ability to write detailed specifications
Solid organizational skills including attention to detail and multi-tasking skills
Basic computer skills
EMR Experience
3 years clinical experience with at least 2 years in a primary care clinic preferred
LVN/LPN License in the state of TX or where positions is located within the enterprise
BLS Certification if applicable

Job Responsibility

Manages a case load of 10,000-15,000 patients with identified gaps in care in collaboration with the Health Care Team
Works in collaboration with the PCMH Team in the design implementation and evaluation of the PMH model as applicable
Works proactively to coordinate preventative/follow-up care for all patients receiving care from participating providers
Reviews patient medical record to identify care gaps
Schedules needed preventative services using evidenced based Physician approved protocols and documents the encounter
Fosters a Team approach by working collaboratively with the member family PCP and other members of the healthcare team to ensure coordination of services
Assists Nurse Navigators’ in performing transition of care outreach to discharged patients to schedule return visit with the PCP per guidelines
Employs knowledge of evidenced based guidelines to effectively communicate the importance of recommended procedures and testing
Facilitates a collaborative approach with care team for identification of and closure of care gaps
Utilizes educational and behavioral change strategies to promote patient collaboration with the care team

Fulltime

Licensed Nurse Care Coordinator - Population Health

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuit...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma required
Minimum of 3 years of clinical or home health experience required
LVN/LPN in the state of employment and/or compact licensure required
Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred
Knowledge of physician office practice operations and one year of experience in physician practice is preferred
Proficiency in keyboarding and EHR systems, primarily Epic

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Identify quality gaps. Participate in Quality Improvement Programs as indicated
Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings
Value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance
Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements
Communicate resources and services available to patients through the continuum of care
Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations
Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders
Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation

Fulltime

Licensed Nurse Care Coordinator - Population Health

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuit...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma required
Minimum of 3 years of clinical or home health experience required
Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred
Knowledge of physician office practice operations and one year of experience in physician practice is preferred
Proficiency in keyboarding and EHR systems, primarily Epic
LVN/LPN in the state of employment and/or compact licensure required

Job Responsibility

Identify quality gaps. Participate in Quality Improvement Programs as indicated
Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings
Value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance
Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements
Communicate resources and services available to patients through the continuum of care
Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations
Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders
Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation
Must have exceptional oral communication skills, strong organizational skills, and ability to adapt to change

Fulltime

Licensed Nurse Care Coordinator - Population Health Admin

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuit...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma required
Minimum of 3 years of clinical or home health experience required
Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred
Knowledge of physician office practice operations and one year of experience in physician practice is preferred
Proficiency in keyboarding and EHR systems, primarily Epic
LVN/LPN in the state of employment and/or compact licensure required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Identify quality gaps. Participate in Quality Improvement Programs as indicated
Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings
Value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance
Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements
Communicate resources and services available to patients through the continuum of care
Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations
Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders
Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation

Fulltime

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Health Care Coordinator

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