Acute care nurse practitioner serp_jobs.h1.location_city

We're unique. You should be, too.

We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.

Sunday- Thursday 8 : 00am-5 : 00pm

The Post Acute Care Coordinator on our Complex Care Team (CCT) is responsible for providing administrative support for the transitional care team. This team includes one or more physicians, nurse practitioners, nurse case managers, and social workers dedicated to improving the care of patients transitioning from acute care hospitals to post-acute care facilities and to home. The team's mission is to improve these transitions in care and prevent the need for repeat hospital admissions. Closely collaborates with the Transitional Care Team members, primary care providers.

Daily responsibilities will include identification and tracking of patients admitted to hospitals and other care facilities, tracking of a high-risk subset of patients after they return to their homes, remote medical record retrieval, review and documentation, post discharge telephone calls, appointment scheduling, planning and tracking of team member activities including hospital and home visits, remote coordination of patient care, and direct communication with primary care providers. This position will also provide opportunities to build relationships with local physicians and leaders in hospitals, post-acute facilities, and primary care clinics. Other key relationships include hospital case managers, hospitalists, physician specialists, skilled nursing and rehabilitation facility staff.

ESSENTIAL JOB DUTIES / RESPONSIBILITIES :

• Responsible for transition of care planning and serve as the hub, in collaboration with the case manager, for distribution of treatment plan to community based service providers post discharge.
• Documents all aftercare and transition information in member record.
• Secures discharge and transition plans from discharging facilities and evaluating plans to ensure compliance with clinical and quality requirements.
• Serves as a bridge between inpatient and outpatient treatment providers.
• Notices health plan partner of all inpatient admissions and discharges and engaging health plan staff in discharge planning activities as needed in conjunction with the assigned care manager.
• Works with care management staff to secure required release of information to allow for coordination with and notification to primary care physician and other specialty providers for members transitioning into our out of inpatient levels of care.
• Identifies community resources and services to improve program effectiveness and quality.
• Other duties as assigned and modified at manager's discretion.

KNOWLEDGE, SKILLS AND ABILITIES :

EDUCATION AND EXPERIENCE CRITERIA :

We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

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