RN Coordinator of Care - Home Health
Transformcap
Job Summary: The RN Field Coordinator position is a licensed registered nurse assigned to Longevity Health Plan Members for the purpose of executing the Institutional Special Needs Model of Care. The RN will have regular assigned facilities, but will also float within the assigned territory as needed for the purpose of filling vacancies, absences and similar needs. Schedule of travel will vary and will be mutually agreed to by the MDCS and the new hire for that market. The RN Field Coordinator (RN FC) is responsible to support on the ground continuity of care data gathering and facilitation of effective onboarding of new health plan members and new buildings. The RN FC will work with the local clinical staff and leadership to educate and train new nursing facilities on the clinical model, will access facility and LHP EMR data to ensure LHP clinical team members understand member transition needs and communicate to the National Care Coordination Team any needs for network or other provider support. Additionally, the RN FC will help gather other information for the NC NPs who are onboarding new members to Facilitate initial visits for the NPs. The RN SC will travel to the different Nursing Homes upon request and assignment by the Market Director of Clinical Services (MDCS).
Key Tasks and Responsibilities Conduct in-person visits at multiple nursing homes to assist Advanced Practice Providers (Nurse Practitioners) with clinical and administrative tasks.
Use facility EMRs to prescreen new enrollees and identify continuity of care needs, including access to external specialists.
Collaborate with clinical and operations teams to oversee member appointments and ensure timely communication with providers and facility staff.
Support transitions of care, assist with prior authorization requests, and help members access services outside the nursing facility.
Communicate with patients, families, and physicians as delegated by nurse practitioners.
Lead orientation sessions for new and existing nursing homes to educate staff on Longevity Health Plan model of care.
Help initiate telehealth services in newly onboarded facilities, including staff education and follow-up.
Maintain proficiency in the Longevity Health Plan electronic medical record system and assist with data entry when needed.
Credentials & Coverage Licensed registered professional nurse in good standing.
Auto insurance coverage as required by your state of residence. Education and Training Associate degree in nursing required, bachelor’s degree in nursing or other healthcare related discipline but must be a licensed professional registered nurse.
Knowledge and Experience Nursing home background or health plan case management experience preferred.
Minimum 2 years’ experience as a Registered Nurse.
Excellent computer skills, EMR/clinical Platform/MS Office Products.
Knowledge of the challenges and opportunities to serve the long-term nursing home population.
Able to travel.
Required to have managed care coordination background/experience.
Company Overview Longevity Health is a national provider of Institutional Special Needs Plans (I-SNP), created to meet the complex healthcare needs of nursing home residents. Since our founding in 2018, we've expanded our services across several states and formed strategic partnerships to deliver high-quality, patient-centered care. Longevity Health is an Equal Opportunity Employer . We value diversity and encourage applicants of all backgrounds to apply.
COVID-19 Vaccination Policy Longevity Health follows federal and state regulations regarding COVID-19 vaccinations. Some facilities may still require staff vaccinations to protect the health of residents. Applicants will be required to provide proof of vaccination, or an approved exemption, where applicable.
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