Related skills
care coordination telemedicine ehr nursing rn📋 Description
- Own care quality and outcomes for assigned participant panel; collaborate with PCP.
- Conduct PACE nursing assessments every 6 months; educate on conditions; follow-ups (virtual/in-person).
- Develop discipline-specific POC with IDT; ensure holistic care; document in EHR.
- Coordinate care for high-complexity participants across hospital, ER, and facilities; ensure seamless transitions.
- Act as triage lead to support ER diversion via walk-in clinics and clinical escalations.
- Dispense medications and reinforce education to participants.
- Coordinate care on behalf of participants with other health care personnel; follow up on care measures.
🎯 Requirements
- Graduate of an accredited school of nursing
- Unencumbered RN license
- Minimum 2 years nursing experience with frail/elderly population
- Self-motivated, able to work in changing environments; make quick decisions in emergencies
- Excellent clinical, organizational, and communication skills with seniors, families, and IDT
- Willing to travel up to 100% of the time; multi-state support; travel expenses covered
- Willing to work evenings, nights, weekends, and overtime
- Must obtain CPR and First Aid within 180 days; certification preferred
🎁 Benefits
- Work-life balance: PTO, holidays, sick days
- 401K savings + match
- Medical, dental, vision coverage
- Career advancement opportunities
- Bonus eligibility
- Additional benefits
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