Job Details

Requisition Number 20-0516
Post Date 7/1/2020
Job Type Full-time
Title RN - Readmission Analyst
City Hartsville
State SC
Description The Care Coordinator works in collaboration and continuous partnership with chronically ill or “high-risk” patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:
• Promote timely access to appropriate care
• Increase utilization of preventative care
• Reduce emergency room utilization and hospital readmissions
• Increase comprehension through culturally and linguistically appropriate education
• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
• Increase patients’ ability for self-management and shared decision-making
• Promote medication reconciliation
• Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs
Requirements  Licensed and credentialed [Registered Nurse / RRT/ES]
 3-5 years’ experience in clinical or community resource settings; Care coordination experience is desirable
 Evidence of essential leadership, communication, education, and counseling skills
 Proficiency in communication technologies (email, cell phone, etc.)
 Highly organized with ability to keep accurate notes and records
 Experience with health IT systems and reports is desirable
 Local knowledge about and connections to community health care and social welfare resources is desirable
 Ability to speak a relevant second language is desirable
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