Registered Nurse Care Coordinator (RNCC) (53012) - Med Surg
Company: Regency Integrated Health Services
Location: Cuero
Posted on: September 20, 2023
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Job Description:
Registered Nurse Care Coordinator (RNCC) (53012)Job Details
Level: Experienced
Job Location: Cuero Nursing and Rehabilitation Center - Cuero,
TX
Position Type: Full Time
Education Level: 2 Year Degree
Salary Range: Undisclosed
Job Category: Health Care
Essential Job Functions
Primary Responsibilities
The RNCC partners with the Texas Independence Health Plan
Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan
NP) to coordinate care for ISNP Beneficiaries (Plan Members),
maintaining routine contact with Plan Members, family, and facility
staff, and informing Plan NPs and/or facility staff when there are
potential medical, emotional, or behavioral changes in a Plan
Member's condition. Functions as a Case/Care Manager and patient
healthcare navigator for Texas Independence Health Plan Members
within nursing facilities. Weekend on-call support duties, and all
other duties as assigned.
Essential Functions
* Assist the Plan NP with care coordination duties and
documentation on Plan Members. May initiate, and in some cases,
complete assessments with Plan Members collecting vital signs and
other administrative care plan data.
* Perform daily rounds to assess changes in Plan Members'
conditions, as well as obtain a daily Plan Member census
evaluation, documenting and reporting to Plan NPs and RNPs which
Plan Members were transferred out of the Facility (to the Emergency
Department or for Hospitalization), who has elected Hospice Care,
and who has returned from the Hospital in the past 24 hours.
* Partner with facility staff and other members of the
Interdisciplinary Care Team (ICT) to implement care plans for Plan
Members and identify and assist in the coordination of specialty or
ancillary services, therapy, and/or other referral needs.
* Monitor Plan Members experiencing changes of condition,
transitions to and from the hospital or other healthcare
environment by working in coordination with facility staff to stay
in touch with the hospital for updates and informing the Plan NP of
the Plan Member's hospitalized status. Ensure that the Plan
Member's discharge paperwork and summary are received by the Plan
NP.
* Follow-up (in person) timely with each Plan Member after a
transition to ensure that the Plan Member is not at risk for a
readmission and to inform the Plan NP of any possible medical or
other needs the Plan Member may have.
* Alert the Plan NP promptly of new enrollees and place urgency on
the Plan NP's intervention if the Plan Member is at risk for
transition at any time.
* Perform all other duties congruent with the ISNP Plan as
assigned.
Qualifications
Educational/Training Requirements
ADN, current Board Certification
Licensing Requirements
RN
Experience Requirements
The RNCC will comply with all State and Federal guidelines required
to practice as a licensed Registered Nurse, including maintaining
an active RN license in the state of Texas. The RNCC is responsible
for maintaining ongoing Texas Board of Nursing educational
requirements for licensure and re-certification.
Keywords: Regency Integrated Health Services, Victoria , Registered Nurse Care Coordinator (RNCC) (53012) - Med Surg, Healthcare , Cuero, Texas
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