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Registered Nurse Care Coordinator
Registered Nurse Care CoordinatorHarmonyCares • Rochester, MI, United States
Registered Nurse Care Coordinator

Registered Nurse Care Coordinator

HarmonyCares • Rochester, MI, United States
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  • [job_card.full_time]
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Overview

HarmonyCares is a prominent provider of in-home primary care services for individuals with complex healthcare needs. With operations spanning 14 states, HarmonyCares employs over 200 primary care providers dedicated to offering patient-centered care through a collaborative, physician-led model.

Our Mission - To deliver personalized, quality-based healthcare directly to the homes of patients who face challenges in accessing care.

Our Vision - Every patient deserves access to high-quality healthcare.

Our Values - We believe our legacy is defined by the care we provide. Every interaction matters. We strive to go the extra mile and support one another.

Why Join Us?

  • Quarterly Bonuses
  • Comprehensive Health, Dental, Vision, Disability & Life Insurance
  • 401K Retirement Plan with company match
  • Tuition reimbursement for professional development
  • Generous Paid Time Off, including holidays and volunteer time
  • Daytime Orientation and Training with no weekend or holiday shifts
  • Recognized as a Great Place to Work
  • Part of the largest home-based primary care practice in the US for over 28 years, making a significant impact in healthcare!

Responsibilities

The Registered Nurse Care Coordinator plays a vital role in improving health outcomes for patients. You will manage a caseload of high-risk individuals, overseeing their care and addressing barriers. Key responsibilities include :

  • Collaborating with the pod leader to ensure patients receive tailored care services throughout their healthcare journey.
  • Working with the care team to develop personalized care plans, identify care gaps, and connect patients with resources.
  • Facilitating seamless transitions of care for patients to prevent unnecessary hospital admissions.
  • Leading High-Risk Huddles and ensuring actionable follow-ups.
  • Prioritizing patient cases based on urgency and severity to provide timely interventions.
  • Reviewing medical records to coordinate services and enhance care effectiveness.
  • Conducting regular updates and thorough assessments via telephone to optimize health outcomes.
  • Providing essential education to patients and caregivers regarding disease management, medication, and preventive health strategies.
  • Exhibiting strong clinical capabilities and communication skills in interactions with patients and the healthcare team.
  • Maintaining accurate documentation of interactions and assessments in patient medical records.
  • Acting as a liaison among patients, providers, and available resources to ensure effective care delivery.
  • Facilitating communication of care plans during transitions, such as from home to hospital, and back.
  • You Will Collaborate With :

  • Executive Directors
  • Market Leaders
  • Pod Leaders
  • Clinical Social Workers
  • Patient Health Coordinators
  • Population Health Teams
  • Qualifications

    Required Skills and Experience

  • Active Registered Nurse License
  • 2+ years of care management experience in community, health plan, or hospital settings
  • Strong clinical skills and proactive problem-solving abilities
  • Excellent communication skills
  • Capable of performing comprehensive telephone assessments
  • Familiarity with Medicare regulations and standards for home care and hospice
  • Experience in presenting and teaching in small group settings
  • Exceptional interpersonal skills
  • Strong written and oral communication abilities
  • Proficient in computer applications (email, Word, Excel, PowerPoint)
  • Effective time management to ensure timely task completion
  • Preferred Skills and Experience

  • Bachelor of Science in Nursing or related field
  • Willingness to obtain multi-state licensing if required
  • In-depth understanding of population health, quality measures, care gap closure, and value-based care models
  • Compensation Transparency

    Compensation packages will be based on individual qualifications, skills, and experience.

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