As part of the primary care patient centered medical home team, the Care Coordinator Registered Nurse (RN) engages in a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates options and services to meet a member's health needs through communication and available resources to promote quality, cost effective outcomes. This process will be applied in various settings to include acute care, skilled nursing care settings, long term acute care settings, rehab facilities, custodial care, ambulatory settings and in the member's home. The Care Coordinator RN functions as a member of a multidisciplinary team which includes a Navigator, Care Coordinator-Social Worker (SW), Pharmacist and Nurse Practitioner.
As part of a multi-disciplinary care coordination team:
Utilizes evidence-based guidelines, as available, in their daily practice
Promotes a professional positive image of Peoples Health throughout the community. Identifies and communicates community concerns and problems affecting Peoples health to appropriate departments
Physical Demands / Working Conditions