RN Clinical Care Coordinator, Long Term Care Facility

$15,000 SIGN ON BONUS

Job Title: RN - Clinical Care Coordinator ` Department: The Manor at Seneca Hill

Reports to: Unit Manager Revision Date: 7/16/2020

Status: Non-Exempt

Job Summary:

The RN Clinical Care Coordinator promotes coordination of care to our residents by monitoring, documenting, assessing, and evaluating interdisciplinary care from admission to discharge. They are also responsible for assisting in overseeing the daily functions of the unit in conjunction with the Unit Manager.

Duties/Responsibilities:

• Reviews 24-hour report. Makes rounds and reviews everyone on report related to any clinical problems or issues. Documents any findings in the medical record.
• Confers with Unit Manager, Nurse Practitioner/MD, resident, resident family and staff as indicated throughout the shift.
• Reviews any previous admissions to ensure all skilled nursing documentation is complete. Makes certain that all nursing orders for care are complete and indicated on the resident care profile. Makes certain that the LPNs and CNAs are aware of any changes needed on the delivery of care.
• Assists the daily operations of the LPNs and CNAs with the Unit manager.
• Follows-up on any residents who are demonstrating new clinical issues and confers with Unit Manager as indicated.
• Oversees the admission process for each resident. Responsible for the completion of the entire nursing assessment phase of the admission. Works in the conjunction with the LPNs to make certain that admission NP/MD orders are written, transcribed, and sent (faxed) to the pharmacy.
• Monitors delivery of care by completing resident rounds; performs thorough skilled nursing documentation to support services provided for all payers; identifying progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with residents in conjunction with the direct care providers; interacting with involved departments to negotiate and expedite scheduling and completion of tests, procedures, and consults; reporting personnel and performance issues to the unit manager; maintaining ongoing communication with utilization review staff regarding variances from the care plan or transfer/discharge plan.
• Assists in the educational process of skilled nursing documentation in conjunction with Staff Development Coordinator as necessary

• Orients and educates residents and their families by explaining what to expect during their stay, initiating the interim care plan, and providing educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements.
• Evaluates outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team; implementing team recommendations.
• Oversees discharge planning process to ensure a smooth transition back to the community.
• Updates resident care plans as clinical changes develop.
• Assists in Unit Manager duties when Unit Manager is absent.
• Oversees the renewal process, including faxing the pharmacy and checking for changes.
• Performs weekly "skin-rounds" with Nurse Manager to follow-up on skin with Charge Nurses.
• Attends family and/or Medicare meetings as needed.
• Assists with supervising facility on weekend shifts as needed.
• Perform other duties as assigned.

Required Skills/Abilities (Unit Specific):

• Effective communication, conflict resolution and problem solving skills.
• Demonstrated organizational and leadership skills.
• Knowledge of the process of aging as it relates to health care, resident rights and abuse reporting regulations.
• Knowledge basic of principles of infection control, resident safety, and standard precautions.

Education and Experience:

• Must be currently licensed in New York State as a Registered Professional Nurse.
• Prior experience with care coordination/care management in a medical setting preferred.
• Supervisory experience preferred.

Working Conditions:

• Requires frequent walking, standing, bending, lifting, pushing and pulling during the work day.
• Requires ability to lift, carry, reposition, and/or transfer residents who may weigh in excess of 200 pounds using proper body mechanics and/or available equipment.
• Requires correct and safe technique in use of all nursing/resident equipment.
• Requires attendance of various meetings and participation on committees as required.
• Actively participates in in-service programs, Quality Assurance programs and CQI, cross training; attends all mandatory classes as required; completes unit-specific competencies.
• Occasionally requires assignments to other units/shifts as hospital needs require.
• Complies with DOH requirements for annual health assessments and required immunizations.

Pay Range: $34.00-$43.45/hour

Employee salary is based on commensurate experience and other qualifications.

About Oswego Health:
The mission of Oswego Health is to provide accessible, quality care and improve the health of residents throughout Oswego County. As a nonprofit healthcare system established in 1881, Oswego Health is proud to be Oswego County's largest private employer. More than 1,300 employees spread throughout its 18 locations, work for the Oswego Health system, which includes the 132-bed community Oswego Hospital, a 32-bed psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community. The health system also operates Oswego Health Home Care, the only hospital-based certified home healthcare agency in the County, as well as two outpatient centers, including the Fulton Medical Center, offering urgent care, lab, medical imaging, physical therapy, and occupational health services, and the Central Square Medical Center, offering urgent care, lab, medical imaging, and physical therapy services. In addition, the healthcare system includes Oswego Health Medical Practice, a multi-specialty medical group offering the community accessible, high-quality healthcare. 100+ physicians and advanced practice providers offer an extensive array of services across CNY, including primary care and specialty care in the areas of orthopedics, cardiology, ENT, gastroenterology, breast care, general surgery, urology, and bariatrics.

EQUAL EMPLOYMENT OPPORTUNITY

Oswego Health is committed to providing equal opportunity in all employment-related matters, without regard to race (including traits historically associated with race), creed, color, religion, sex/gender, national origin, age, marital or familial status, disability, pregnancy-related condition, sexual orientation, gender identity, gender expression, transgender status, citizenship status, ancestry, arrest/conviction record, military or veteran status, domestic violence victim status, genetic predisposition or carrier status, reproductive health decision making, relationship or association with a member of a protected category, or any other legally protected characteristic. Decisions affecting your position including, but not limited to, recruitment, hiring, placement, promotion, transfer, compensation, benefits, training, tuition assistance, leaves of absence, disciplinary action, layoff/recall, and terminations will be made in accordance with this policy.