RN Care Coordinator - Full Time

Description Summary: Versatility Are you ready to embark on a rewarding journey as an RN Care Coordinator? At our integrated care facility, we’re passionate about coordinating patient care across the entire continuum—from inpatient to outpatient to community settings. As a vital link in this chain, you’ll play a pivotal role in ensuring safe, high-quality, and cost-effective care for our patients. Navigating Transitions: You’ll orchestrate seamless transitions for patients moving from inpatient or emergency department care. Your mission? To meet their medical, rehabilitative, and financial needs with precision. Collaboration Extraordinaire: Working closely with patients, families, healthcare teams, and community resources, you’ll create a harmonious symphony of care. Goal-Driven Care: Set sail toward optimal patient function and health by establishing personalized goals based on individual needs. Your compass? The patient’s unique circumstances. Health Education Maestro: Conduct enlightening sessions on medications, disease management, and self-care. Your audience? Empowered patients ready to take charge of their well-being. Risk Whisperer: With your assessment skills and risk assessment tools, you’ll identify patients with actual or potential healthcare needs. Your mission? To ensure timely and effective care coordination. Transition Choreographer: From assessment to planning, implementation, monitoring, and evaluation, you’ll lead the dance of care coordination across all levels of transition. Versatile Performer: Whether face-to-face, in groups, or via phone, you’ll engage patients wherever they are—be it a healthcare facility, practice, office, or their own cozy home. Point-of-Care Virtuoso: When needed, you’ll wield your expertise in point-of-care testing (POCT) for diabetes management, anticoagulation therapy, and medication dosing. Education Trailblazer: If you’re an RN with the right education, you can join our Pre-diabetes (DPP) and diabetes (DSMT/DSME) education programs. Orthopedic Overture: In the orthopedic office, you’ll provide pre-op education to patients undergoing total joint replacements. Encore! Care Management Maestro: Versatility is your forte. Cross-train across all areas of care management and hit all the high notes. Benefits: MDI Hospital and Birch Bay Retirement Village offer a competitive salary, robust medical/dental/vision/life insurance, identity theft protection program, matching retirement plan, ample paid time off, a comprehensive award winning wellness program with reimbursement incentives, generous tuition reimbursement, and continuing education benefits. Some positions may qualify for a sign on bonus and relocation assistance. EEO Statement: MDI Hospital and Birch Bay Retirement Village provide equal employment opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national origin, veteran status, and other classifications protected by applicable state and local non-discrimination laws. Requirements Education, Training or Certifications Required: Current professional licensure as Registered Nurse in Maine. AHA BLS certification. Experience Required: 3-5 years experience in acute care nursing, home health or care management. Ability to organize, prioritize and multi-task. Strong time management skills. Self-motivated. Computer proficiency Ability to communicate well with team, patients and family Experience managing those with chronic illness, behavior modification, goal setting, and education. Care management experience preferred. Special Requirements: 1. Valid Maine driver’s license and daily access to reliable and insured vehicle 2. Must have organizational skills, the ability to self-motivate, and the ability to prioritize duties 3. Proficient computer literacy including, but not limited to, electronic medical records, electronic data entry, report/data generation and retrieval. Ability to learn multiple system software. Ability to use Microsoft Word, Windows, Excel 4. Ability to use basic office equipment: phones, computers, fax machine, scanners, copiers, calculator. 5. Must be able to support the organizations mission, vision, and values 6. Ability to communicate clearly and effectively 7. Ability to maintain effective work relationships and to work collaboratively with the health care team 8. Ability to develop a collaborative therapeutic alliance with individuals Cognitive Requirements: 1. Emotional maturity 2. Critical Thinking ability 3. Reading, writing, and mathematics 4. Ability to analyze data and reports 5. Ability to develop plans, procedures, goals, strategies or processes 6. Versatility, flexibility, and willingness to work within constantly changing priorities and health care environment Physical Demands: 1. Able to sit, stand, walk for minimum 8-hour shifts. May occ. need to work in excess of 8 hr. shift. May require walking outside to various buildings on campus. 2. Work weekend rotations. 3. Able to carry 20 lbs. 4. Drive to practice sites, visit sites, meetings 5. Ability to sit for long periods of time. Ability to reach, bend, stoop, squat or twist repeatedly throughout the day. 6. Prolonged time on telephone and computer. 7. Adequate hearing and vision (with or without correction). Position requires hand and finger dexterity. Environment: 1. Potential for exposure to blood/body fluids and communicable diseases. 2. High stress potential. 3. Frequent use of VDT. 4. Work in close proximity to coworkers or other members of the health care team.