Registered Nurse Care Coordinator

Job Description

Job Description

At Mahaska Health the primary role of a Registered Nurse (RN) Care Coordinator is to provide high quality, holistic healthcare to patients with multiple chronic and preventive conditions (high risk patients) through a patient-centered approach to improve their lives.

• Supports and empowers patients throughout health care continuum to include holistic counseling, problem solving “barriers to care” issues and coaching clients as needed re: treatment and medication adherence, healthy life choices, and self-help behaviors.
• Responsible for providing appropriate care and follow up to high-risk patients.
• Use monthly reports to monitor patient outcomes, review results with providers, and take appropriate follow up action with patients.
• Performs nursing assessment/medical triage of acute medical issues and medication side effects and refers or monitors appropriately.
• Provides chronic disease and preventive screening education to clients/families/partners, internal staff and external agencies in an organized and appropriate manner.
• Works to assist clients in accessing support services by serving as a liaison with other community agencies and connect patients with financial assistance and entitlement resources as needed.
• Remote Patient Monitoring/Chronic Care Management.
• Manages patient referrals and follow-up to other specialty medical, mental health, substance abuse and community services.
• Ability to read, analyze, and interpret documents, reports, technical procedures, governmental regulations, and correspondence; ability to write routine reports and correspondence; and ability to present information in one-on-one, small group, and large group situations to management and staff.
• Consults with physicians, health care providers and outside agencies regarding continued care/treatment.
• Use the Electronic Medical Record system according to established guidelines.
• Provides assistance with direct nursing interventions such as venipuncture, wound care, vaccinations and other identified nursing responsibilities.
• Ensures billable procedures are correctly documented and submitted in a timely manner.
• Ability to work with mathematical nursing concepts.
• Perform other duties as assigned to support patient care, departmental operations, and organizational goals.

• A graduate from an accredited school of nursing and currently licensed as a Registered Nurse (RN) in the state of Iowa, able to work in the state of Iowa.
• Two or more years’ experience as a registered nurse is preferred.
• Must have excellent computer skills and ability to learn new systems.
• Required to be current in BLS (Basic Life Support) by the standards of the American Heart Association.
• Will be required to show proof of having completed Mandatory Reporter course at the time of hire or attend within 6 months of the start date.
• Must adhere to all training requirements as mandated by Federal, State, and Professional licensure and regulatory standards.
• Understand and comply with the requirements of MH’s Compliance Program, including, but not limited to the Code of Conduct, the Compliance Policy, Mahaska Health Experience Book and all supporting policies for compliance, and compliance plans affecting specific duties and responsibilities.
• Ability to perform the essential work functions of this job, with or without reasonable accommodation.
• Personal qualities of integrity, credibility, and commitment to the mission of Mahaska Health.