RN CARE COORDINATOR (80188) at Regency Integrated Health Services

Brownsville, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Apr, 26

Salary

0.0

Posted On

13 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Patient Healthcare Navigation, Assessment, Documentation, Vital Signs, Interdisciplinary Care Team, Care Plans, Specialty Services Coordination, Hospital Transitions, Discharge Planning, Follow-Up Care, Communication, Case Management, Regulatory Compliance, Texas RN License, Ongoing Education

Industry

Hospitals and Health Care

Description

Job Details Job Location: Brownsville Nursing and Rehabilitation Center - Brownsville, TX 78526 Position Type: Full Time Education Level: 2 Year Degree Job Category: Health Care Primary Responsibilities The RNCC partners with the Texas Independence Health Plan Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan NP) to coordinate care for ISNP Beneficiaries (Plan Members), maintaining routine contact with Plan Members, family, and facility staff, and informing Plan NPs and/or facility staff when there are potential medical, emotional, or behavioral changes in a Plan Member’s condition. Functions as a Case/Care Manager and patient healthcare navigator for Texas Independence Health Plan Members within nursing facilities. Weekend on-call support duties, and all other duties as assigned. Essential Functions Assist the Plan NP with care coordination duties and documentation on Plan Members. May initiate, and in some cases, complete assessments with Plan Members collecting vital signs and other administrative care plan data. Perform daily rounds to assess changes in Plan Members’ conditions, as well as obtain a daily Plan Member census evaluation, documenting and reporting to Plan NPs and RNPs which Plan Members were transferred out of the Facility (to the Emergency Department or for Hospitalization), who has elected Hospice Care, and who has returned from the Hospital in the past 24 hours. Partner with facility staff and other members of the Interdisciplinary Care Team (ICT) to implement care plans for Plan Members and identify and assist in the coordination of specialty or ancillary services, therapy, and/or other referral needs. Monitor Plan Members experiencing changes of condition, transitions to and from the hospital or other healthcare environment by working in coordination with facility staff to stay in touch with the hospital for updates and informing the Plan NP of the Plan Member’s hospitalized status. Ensure that the Plan Member’s discharge paperwork and summary are received by the Plan NP. Follow-up (in person) timely with each Plan Member after a transition to ensure that the Plan Member is not at risk for a readmission and to inform the Plan NP of any possible medical or other needs the Plan Member may have. Alert the Plan NP promptly of new enrollees and place urgency on the Plan NP’s intervention if the Plan Member is at risk for transition at any time. Perform all other duties congruent with the ISNP Plan as assigned. Qualifications Educational/Training Requirements ADN, current Board Certification Licensing Requirements RN Experience Requirements The RNCC will comply with all State and Federal guidelines required to practice as a licensed Registered Nurse, including maintaining an active RN license in the state of Texas. The RNCC is responsible for maintaining ongoing Texas Board of Nursing educational requirements for licensure and re-certification.

Responsibilities

The RN Care Coordinator partners with the Nurse Practitioner to coordinate care for ISNP beneficiaries, maintaining contact with members and facility staff. They perform assessments, monitor changes in conditions, and assist in implementing care plans.