RN Coordinator of Care – CHHA
Registered Nurse, Field based position covering Lower Manhattan or Brooklyn
$100,000 – $115,000 and $15,000 Sign on Bonus + Amazing Benefits!

RN Coordinator of Care Nurse will take on 5 visits per day
The orientation / training will take place in-house (Sunset Park, Brooklyn Office) for 5 days
**The only time the field staff maybe asked to come into the office is for staff meetings or in-house training.

Position Overview:
In this role, you will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients. You will also review patient insurance information, coordinate activities involved in each individual care plan and make sure that pertinent findings are shared with family and professional caregivers. Your excellent communication, documentation and time management capabilities will be essential to your success.

• To create the initial comprehensive and interdisciplinary patient centered home health plan of care; update the home health plan of care in collaboration with the physician.
• Assess the patient for the appropriate level of care and utilization of agency resources.
• Utilize motivational interviewing to engage patient/caregiver in the established plan of care.
• Ensure the EMR accurately reflects: the current plan of care; the services provided; patient's response to treatment; status of goal achievement.
• Effectively communicate and coordinate the delivery of services across all disciplines, including physicians, PSM, WOCN, CDE, and MLTCP.
• Accurately complete all OASIS data sets, within agency established guidelines, which reflect positive clinical outcomes and consistent utilization of industry established best practices.
• Accurately complete all OASIS data sets to ensure the correct reimbursement is received.
• Data enters into the EMR all physician orders on the same day the order is received from the physician.
• Provide accurate and timely documentation requesting authorization of services from MCOs in a manner that supports continuity of patient care and reimbursement for services provided.
• Submit all split bills and payer changes accurately and timely to finance; respond to all inquiries from finance requesting clarification of information submitted.
• Minimize the occurrence of NTUCs, LUPAs, Outliers.
• Consistently adhere to all agency guidelines as well as all state and federal regulations specific to the delivery of home care services.
• Demonstrate expert knowledge related to scoring of all OASIS data set items.
• Perform a comprehensive physical, psychosocial and safety assessment via examination, observation and motivational interviewing.
• Perform a comprehensive medication reconciliation the includes all physician prescribed and OTC medications and/or supplements.
• Verify the initial plan of care with the patient's physician; utilizing patient specific parameters inform the physician of any changes in the patients' status; update the plan of care to reflect changes made by the physician.

REQUIREMENTS:

• NY State RN license
• Previous CHHA experience
• Minimum of one-year acute care experience
• Medical-Surgical nursing experience
• CHHA/LTHHCP experience preferred
• Driver's License highly preferred