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The Care Coordinator works in collaboration and continuous partnership with chronically ill or high-risk patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:
Promote timely access to appropriate care
Increase utilization of preventative care
Reduce emergency room utilization and hospital readmissions
Increase comprehension through culturally and linguistically appropriate education
Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
Increase patients ability for self-management and shared decision-making
Provide medication reconciliation
Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs
Chronic condition health coaching and education
These activities are provided telephonically and in a practice or home setting based upon predefined criteria and assignments. This position requires traveling between facilities and locations
Success in this position will lead to improved health for the patient and reduced health care costs for the managed population of patients.
Registered Nurse with clinical and current, active and unrestricted New Jersey State License.
Experience in clinical or community resource settings; Care coordination and/or case management experience is preferred
Highly organized with ability to keep accurate notes and records
Experience with health IT systems and reports is desirable
We offer a great work environment, competitive rates and excellent benefits, including:
Vacation/Personal/Holiday/Sick Time Off
Short & Long Term Disability
Basic Life & Accidental Death Insurance
Health Care/Dependent Care Flexible Spending Accounts
Equal Opportunity Employer
Internal Number: I40642
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Association for Healthcare Documentation Integrity
4230 Kiernan Avenue, Suite 120
Modesto, CA 95356