CARE COORDINATOR, REGISTERED NURSE (RN) - FAMILY MEDICINE
- Requisition # 2025-159647
- ShiftDay
- StatusFull Time with Benefits
- Participates in daily patient reviews. Maintains communication with other team members as well as office staff and providers. Communicates regularly with assigned patients either by telephone or with face-to-face encounters. Monitors patients' health status and communicates the self-management skills needed to maintain the highest level of function. Communicates issues and concerns back to providers and or office staff.
- Collects health history data from patient, family, PCP, office staff, and other health care team members as needed. Utilizes critical thinking to identify the patients' bio-psychosocial, spiritual, cultural, environmental, and educational needs.
- Collaborates with other members of the team as well as outside resources when needed to develop a comprehensive plan of care incorporating current diagnosis, interventions, beneficiary self-management skills, and educational needs. Takes into consideration all chronic conditions when creating the plan of care.
- Documents all data and findings consistently and comprehensively under regulatory requirements. Completes documentation in the EMR on all patients. Focuses on the Rising Risk population, determines Health Care needs, and enters patients into Disease Coordination programs when applicable.
- Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
- Graduate of accredited Registered Nursing Program.
- Minimum 2-3 years experience in managed care or health education/coaching is preferred.
- Must be able to prioritize, plan and handle multiple tasks/demands simultaneously.
- Requires communication skills to engage patients/families over the phone and in person.
- Experience working with large EMR/Health systems
- Experience using Microsoft Word, Excel, and Outlook.
- RN Degree.
- NJ State Professional Registered Nurse License.
- Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
- Experience: Years of relevant work experience.
- Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
- Skills: Demonstrated proficiency in relevant skills and competencies.
- Geographic Location: Cost of living and market rates for the specific location.
- Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
- Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
- X
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