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Job Summary: The RN Care Coordinator facilitates the clinical management and promotes continuity of care for an assigned population with complex care needs by partnering with assigned providers, patients and caregivers. Complex care includes, but is not limited to: high risk score, high service utilization, need for transition across continuum points, gaps in care and/or referral by providers. Utilizes clinical knowledge in the application of care coordination principles to help patients achieve self-management goals and assists in the development of an individualized plan of care. The RN Care Coordinator uses motivational interviewing to identify goals and barriers, and promotes cost-effective utilization of healthcare resources while collaborating with members of the healthcare team; which includes patient and family, providers, clinical staff, community agencies and health plan.Essential Functions and Responsibilities:
Qualifications:
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
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