Nurse Care Coordinator

Job Summary

The Nurse Care Coordinator works within the interdisciplinary team and the provider to ensure linkage to appropriate medical and behavioral health treatment and resources.

Duties

• Perform a comprehensive assessment and screenings of a patient's clinical, psychosocial, and health issues and disparities in treatment
• Establish rapport and a relationship with the patient and family in order to understand their needs and expectations and to assist them in setting realistic and mutual goals
• Integrate an awareness of cultural factors in the patient/family interview process, elicit clinically relevant cultural information
• In conjunction with the physician, the patient and interdisciplinary team, establish a comprehensive plan of care to appropriately address clinical milestones
• Communicate plan of care, including changes and issues related to plan of care to patient/family, physicians, and other members of the healthcare team
• Gather sufficient information from all relevant sources to determine the effectiveness of the plan of care to ensure it is done in an accurate, safe, timely, and cost-effective manner
• Coordinate patient transfer to the appropriate level of care
• Identify and facilitate resolution of clinical and operational roadblocks to achieve optimal outcomes by identifying alternatives as needed
• Document all care management assessments and interventions.
• Add current discharge planning documentation into medical records
• Follow up to ensure that tests and treatments are proceeding efficiently and that results are available to physicians on a timely basis
• Closely monitor the progression of care for the observation patient, ensure appropriate utilization of resources and efficient throughout

Skills/Abilities:

• Excellent interpersonal skills, including demonstrating empathy and compassion
• Skills and ability to complete health screenings and provide nursing interventions
• Ability to engage clients and families
• Ability to work collaboratively in a multi-disciplinary team
• Excellent time management skills with a proven ability to multitask
• Excellent analytical skills
• Ability to function well in a high-paced and at times stressful environment
• Proficient with electronic health record and computer programs

Requirements:

• RN/BSN with State of Illinois
• 1-2 years' experience working in a healthcare setting, preferably in care coordination
• Preferred experience working with behavioral health clients
• 25% 50% of time spent walking or standing, travel 10%
• Potential exposure to infectious disease or violence