Job Description

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:
The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Qualifications:

• Current license as RN in the state where the employee will be working
• Minimum of one (1) year nursing experience; hospice or hospital experience preferred
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
• Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred
• Mobile Driver - Valid driver’s license and automobile insurance per Company policy
• Reliable transportation to meet patients’ needs
• Excellent critical decision making and problem-solving skills
• Excellent clinical and assessment skills
• Ability to use equipment with visual and auditory mechanisms
• Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines
• Ability to effectively handle stressful situations professionally and calmly with exceptional customer service
• Strong patient service skills
  • Information seeking / probing skills
  • Accurate knowledge transfer
  • Listening, understanding, and responding
• Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits
• Ability to work in a cooperative team environment
• Able to exhibit a sense of urgency in daily work activities
• Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills
• Available to work shifts to accommodate extended hours of operation as scheduled
• Ability to perform sedentary work with frequent interruptions
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations
• Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Some locations may require:

• Completes clinical admissions for all Company services including, but not limited to:
  • Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
  • Identifies admission objections, concerns or other entry barriers and provides responses
  • Educates patient/family on admission requirements and addresses immediate needs
  • Completes informed consents and initial assessment according to regulations and Company policy
  • Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs
  • Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
  • Obtains Physician orders
  • Completes documentation per Company policy

• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
• Obtains medical record information for the referral.
• Develops strong relationships with case managers, physicians, etc. at facilities.
• Works with Professional Relations Representatives (PRRs) to provide education on all available services.
• Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all state, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with coworkers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:

• Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory. Provides compassionate customer service to patients and families.
• Assesses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.
• Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
• Demonstrates clinical skills regarding case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
• Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.
• Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices.
• Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.
• Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support.
• Completes documentation per policy and procedure.

• During times of emergencies (i.e. Hurricanes, etc.), the RN, Nights and Weekends may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.

• Perform other duties as assigned.

Compensation Pay Range:

$65,996.22 - $98,994.33

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.