Rn:Reg Nurse Care Mgmt Coord:Karabots Pediatric Primary Care

Rn:Reg Nurse Care Mgmt Coord:Karabots Pediatric Primary Care
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Rn:Reg Nurse Care Mgmt Coord:Karabots Pediatric Primary Care

Details of the offer

LOC_KARABOTS:Care Network:KarabotsReq ID:38441 Shift: Days Employment Status:Regular : Full Time

Job Summary 13;
Important Notice: Thank you for your interest in the Childrens Hospital of Philadelphia. Due to the COVID:19 pandemic, the recruitment process for this position has been placed ON HOLD. If you would still like to be considered for the role, you may apply to this position.

When the status of the position returns to active and if your resume is selected for review, the recruiter will reach out. Thank you for considering CHOP. Our appreciation is sincere, knowing your talent is very valued.

The Registered Nurse (RN) Care Management Coordinator or Care Manager provides care management services to a panel of medically complex patients or populations of patients who have risk factors that are amenable to care management interventions. The RN Care Manager may be assigned regionally to support one or more CHOP primary care practices and/or may be assigned to the care of patients who receive primary care outside of the CHOP Care Network. S/he serves an advocate for patients and their families and assists them to navigate the health care system. The RN Care Manager facilitates the continuity of a patients care by functioning as a liaison between primary care providers (PCPs), outpatient specialty care providers and inpatient care teams, as well as payers, medical equipment suppliers, home care providers, subacute and chronic care facilities and community resources. S/he collaborates with ambulatory, emergency department and inpatient care teams with the goals of optimizing communication among care providers, promoting seamless transitions between care settings and facilitating the appropriate use of health care resources.

Job Responsibilities 13;

Practice

:General care coordination responsibilities:

:Identify patients in need of care management and maintain a patient database.
:Provide care management services to an assigned panel or designated population of patients and their families.
:Develop and maintain patient:centered, intra:disciplinary, longitudinal plans of care and monitor patients progress toward care plan goals.
:Advocate for patients and families and promote communication and collaboration to keep all care team care members informed of patients care needs and to ensure that patients access and benefit maximally from available health care resources.
:Facilitate transitions across care settings.
:Assist patients and families with access to health care services as needed, including collaboration with payers.
:Teach, coach and counsel patients and their families to build independence and skills for self:management.
:Monitor and evaluate patients outcomes and communicate outcomes to health care teams.
:Use information systems to document and track care coordination interventions
:Transfer patients to higher or lower levels of care management support as appropriate.
:Outpatient care coordination responsibilities:

:Communicate regularly with PCPs and relevant specialists regarding acute and chronic patient care issues and intra:disciplinary care plans.
:Review medical records prior to encounters and participate in outpatient visits as necessary to assist in the development and updating of care plans.
:Participate in care team meetings to discuss active clinical issues and progress toward goals.
:Establish routine communication plans and communicate regularly with patients and families to assess ongoing care needs and to facilitate proactive care planning, including regular telephone contact.
:Serve as a liaison with insurers/payers, review resource utilization and eligibility and identify the need for and facilitate obtaining additional health insurance services.
:Complete letters of medical necessity, referrals and prior authorizations as needed.
:Collaborate with home nursing companies and Durable Medical Equipment (DME) providers.
:Identify and


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