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Patient Care Coordinator – Case Management – Full-time Days

Patient Care Coordinator – Case Management – Full-time Days

CompanyVanderbilt Health
LocationLa Vergne, TN, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • 5 years of recent hospital-based experience
  • BSN required
  • RN License required

Responsibilities

  • Coordinates the evaluation process of the defined patient population.
  • Supports patient access by serving as a liaison between the referring provider’s office and Vanderbilt provider.
  • Interacts routinely and effectively with the clinical team to develop a collaborative plan for the coordination of patient care from the anchor hospitalization through the defined care episode.
  • Develops and manages the processes related to pre-admission and post-discharge care transitions; establishes relationships/clinical pathways with providers/agencies to optimize care for defined patient population.
  • Assists in the development and dissemination of patient education materials/information to include creation of customized medication grids with input from the pharmacist/team as needed.
  • Assists with discharge/transition planning in collaboration with the multi-disciplinary team, actively engaging outpatient care providers by sharing hospital course, concerns, pending test results, learning needs, partnership opportunities etc.
  • Coordinates handovers including outpatient care coordinators (disease management teams), home health care nurses, cardiac rehab, skilled nursing facilities, etc.
  • Demonstrates reflective practice by constantly evaluating care coordination and supports the development of protocols for practice based on evidence.

Preferred Qualifications

    No preferred qualifications provided.