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Registered Nurse Care Coordinator - Hybrid
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Full-time
- Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.
- You will be required to undergo training from the Commonwealth Care Alliance (CCA) to perform Minimum Data Set (MDS) assessments and create care plans customized to meet the needs of individual patients.
- It is anticipated that success with connecting with patients will require communication with BHCHP care teams and shelter partners, use of BHCHP and CCA electronic medical records, as well as outreach to patients who are living on the street, shelter, or in temporary or permanent housing.
- Inputs authorizations for Durable Medical Equipment and other services (Home Health Aide, Homemaking, Skilled Nursing, Physical Therapy, and Personal Care Attendant) based on MDS assessment.
- Conduct in person and or telephonic follow-up visit for patients who are discharged from an inpatient medical or psychiatric facility; advocates and discuss patient outcomes and trends to CCA (OneCare) insurance during monthly meetings.
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