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RN Care Coordinator Outpatient
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Full-time
- Newport News, VirginiaOverviewThe RN Outpatient Coordinator works under the supervision of the Care Management Leadership and is responsible for the coordination of care to patients who are considered high risk with complex medical and psycho-social needs.
- Guides the patient and family/care giver through the healthcare system, maximizing use of resources.
- Collaborates with the patient’s PCP and specialists in the development of the plan of care to ensure the patient’s needs are addressed; communicates care objectives to appropriate individuals/departments/referral sources.
- Proactively identifies and evaluates patients and families for care management from a variety of sources such as RHS internal reports, discharge/disposition planning, referrals, the healthcare system, employers and facility staff.
- Conducts systematic, on-going, thorough collection of patient’s physical, emotional, psychological, social and medical status and information via direct patient contact and other relevant sources such as professional and non-professional caregivers, medical records, family/caregiver interviews.
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