RN CARE COORDINATOR

Job Summary:

As part of the Care Coordination Team, the RN Care Coordinator is responsible for Chronic Care Management of high risk and complex care patients. Emphasis on building relationships with provider, patient and family/caregiver to increase self-management of complex disease states including heart failure/heart disease, asthma, COPD, diabetes and supporting workflows to close gaps in patients' chronic and preventative health care needs. Collaboration with PCP and Care Teams to establish patient-centered goals and a plan of care to support achievement of those goals, closing gaps in care and to meet patient needs during vulnerable times of transition across care continuum or adjustment to new diagnoses.

EXPERIENCE DESCRIPTION:

A minimum of 4 years of experience as a Registered Nurse is required. Experience in Medical Surgical or primary care nursing is preferred. Experience in critical care, home health or cardiac/pulmonary nursing is...