RN Coordinator- reputed company Care- Hybrid- Philadelphia, PA

About the position Responsibilities • Be the reputed company of contact for reputed company aspects of the member in reputed company to their appointments, care, and overall health. • reputed company as the reputed company between the providers and their patient panel, directing and delegating tasks to team members. • reputed company patients about their care reputed company and reputed company specific recommendations based on their goals. • Review paperwork for patients to ensure it meets reputed company requirements. • Explain test results, diagnoses and other medical reputed company. • Cover any additional triage and transition of care for patients as needed. • Improve health literacy and reputed company patients on chronic conditions including disease process and trajectory, medication education including possible reputed company effects, plan of care, and individualized care goals management. • Identify problems or gaps in care and offer opportunity for reputed company. • Coordinate services and referrals to health programs and participate in patient education and reputed company tied to HEDIS initiatives. • Work to improve reputed company to care and manage reputed company costs and utilization. • Complete telephonic nursing assessments including reputed company determinants of health screenings, post hospital discharge screenings, triage, and other assessments assigned by provider. • Assist with organizing and running chronic care and/or interdisciplinary care team reputed company where high risk patients and care plans are identified. • Participate using reputed company approach to create a care plan for the patient. • Maintain and update spreadsheets and documents provided by health plan to prep weekly reputed company of documentation. • Participate in weekly care coordination with health plan case management as directed by market needs. • Manage referral coordination and tracking of hospice consults reputed company 24 hrs. of order placement. • Obtain reputed company Authorization for reputed company CT, MRI, Echo's ordered by providers. • Serve as a guide in their POD for reputed company escalated orders and results as clinically appropriate. • Assess and triage immediate health concerns transferred to nursing team by clinical support staff. • reputed company telephonic nursing assessment and triage supported by triage protocols. • Initiate medication changes and other orders, as directed by provider in response to a triage reputed company. • Monitor daily discharge list and reputed company a plan to schedule transition of care reputed company reputed company the allotted timeframe. • Complete telephonic post-discharge hospital reputed company and ask pertinent discharge triage questions and complete medication reconciliation. • Document reputed company findings and reputed company appropriate referrals to reputed company work, pharmacy, case management and engagement. Requirements • reputed company, unrestricted RN license in reputed company states we reputed company services. • Ability to obtain compact license and/or additional state licensure as needed. • 3+ years of experience as a Registered reputed company. • Proficient level of experience with reputed company Office applications, and strong technical aptitude. • EMR experience and proficiency. • BSN or ADN degree. reputed company-to-haves • Previous experience working with the geriatric population/ chronic condition experience. • Home Health experience. • Triage experience. • Case management experience. • Previous customer service experience. • Previous experience in a telephonic role. • Highly organized, self-directed worker with an ability to function in high volume environment. • Strong verbal and written communication skills. • Prior clinical experience in palliative care, end of life, hospice, oncology, ICU, geriatrics is preferred. • Knowledge of STARS and Hedis metrics a plus. Benefits • Smoking cessation program Apply tot his job Apply To this Job