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 DirectorsMarket LeadersPod LeadersClinical Social WorkersPatient Health CoordinatorsPopulation Health TeamsQualifications
Required Skills and Experience
Active Registered Nurse License2+ years of care management experience in community, health plan, or hospital settingsStrong clinical skills and proactive problem-solving abilitiesExcellent communication skillsCapable of performing comprehensive telephone assessmentsFamiliarity with Medicare regulations and standards for home care and hospiceExperience in presenting and teaching in small group settingsExceptional interpersonal skillsStrong written and oral communication abilitiesProficient in computer applications (email, Word, Excel, PowerPoint)Effective time management to ensure timely task completionPreferred Skills and Experience
Bachelor of Science in Nursing or related fieldWillingness to obtain multi-state licensing if requiredIn-depth understanding of population health, quality measures, care gap closure, and value-based care modelsCompensation Transparency
Compensation packages will be based on individual qualifications, skills, and experience.