Registered Nurse Connected Care Coordinator Hospice

Registered Nurse Care Coordinator PorterCare AH System

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Schedule:Full Time

Shift: Monday - Friday Day Shift

Location: covering Adams, Arapahoe, Jefferson, Denver, Douglas, Elbert and Elizabeth Counties.

The role youll contribute:

The Connected Care Coordinator will function as the key patient advocate and educator for coordination of post-acute care services within AdventHealth (AH) owned hospitals. This person will assist in assessing patients for post-acute care, coordinating the clinical transition to home health and hospice as clinically indicated and into the appropriate post-acute setting. The Coordinator is responsible for maintaining relationships with physicians, post-acute providers, therapists, patients and families. This Coordinator will be assigned a specific hospital or specialty and is responsible for collaboration with care management, the physicians, and the clinicians to develop a discharge plan requiring post-acute services across AdventHealth continuum of care.

The value youll bring to the team:

• Responsible for conducting a systematic post-acute assessment of the physical, psychosocial and functional aspects of the patient and his/her family and their impact on the outcome potential to determine appropriateness for the Home Health and Hospice care setting.
• Inform and educate the patient and family about these post-acute settings, balancing the patient/family requests with what is required to provide safe, reliable, ongoing care for the patient.
• Identify patient/family problems or needs ensuring communication to physician, care management and the clinical team.
• Assist with coordination of home health care referrals within assigned hospital(s).May conduct bedside assessment to determine appropriateness of home or hospice care admission and educates patient/family regarding discharge plan and home care and hospice service expectations.
• After receiving Referral, assist with Intake process including pre-registration requirements for HHC admission.
• Maintains comprehensive working knowledge of managed care along with community resources.
• Completes and submits all documentation in a timely manner according to department policy.
• Responsible for reviewing the discharge plan with Care Management and the clinical transition team from inpatient to post-acute care ensuring systematic handoff between care providers.
• May participates in MDR, care conferences and coordination with Case Management.
• Strictly adhere to mandated federal, state, local regulatory and statutory requirements as well as AH policies and procedures for referral processing.
• Develop a presence inside the Hospital medical community, confer with health care providers, promote educational opportunities as they present, and attend meetings as assigned.
• Attends in-service training and mandatory company meetings
• Perform other duties as assigned by management.
• Collaborate with Care Management on patient readmission assessments.

The expertise and experiences youll need to succeed:

Minimum qualifications:

• Associate in Nursing or above
• Minimum two years of post-acute (e.g., home health and/or skilled nursing facility and/or hospice clinical experience) or Care Management in a facility experience
• Experience working with the public and exceptional customer service skills
• Knowledge of medical terminology and the post-acute referral process
• Registered Nurse
• AHA Basic Life Support certification
• Valid Colorado drivers license, automobile insurance, safe driving record and reliable transportation

Preferred qualifications:

• Bachelors degree in medical related field
• Bachelors of Nursing

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category:Case Management

Organization:AdventHealth Hospice

Schedule:Full-time

Shift:1 - Day

Req ID:25010030