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Remote RN Nurse Coach
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Full-time
Remote
- Monday to Wednesday 9am to 6pm EST AND Friday to Saturday 9AM to 6pm EST. MUST BE NY LICENSED Description: As a Nurse Coach you will utilize clinical expertise to manage assigned Post-Acute Care patients' transition from acute care setting to the home setting through telephonic outreach to provide education, coaching and care coordination to accomplish the goals of the Post-Acute Care Program, inclusive of 4 different health plans.
- Post-Acute Care (PAC) Program is an end-to-end post-acute offering that manages up to 90-day episodes of care, starting prior to the patient's discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization.
- The program optimizes our home-based network, identifies the likely best site- of-care for the patient, manages length of stay (LOS) if a Skilled Nursing Facility (SNF) is appropriate, and reduces hospital readmissions.
- Our program also coordinates all of the services required for a patient to transition to their home faster and safer, via our network of home health, durable medical equipment and home infusion providers, all of whom are supported by our care coordination team.
- Engages Post-Acute Care patients in the program and administers initial assessments, progress surveys and discharge surveys in an effort to prevent Performs assessments that directly tie to reducing readmissions.
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