Registered Nurse (RN) - Patient Care Coordinator

Company: Avera Health
Location: Sioux Falls
Posted on: March 10, 2025

Job Description:

Registered Nurse (RN) - Patient Care Coordinator at Avera Health summary:
As a Registered Nurse (RN) Patient Care Coordinator at Avera Health, I coordinate clinical services for patients transitioning from hospital to home or hospice care. My role involves educating referral sources, facilitating communication among healthcare providers, and ensuring adherence to care plans while maintaining compliance with regulations. I leverage my expertise in home healthcare to provide comprehensive support, fostering a multidisciplinary approach to enhance patient outcomes.
Location:Avera Health Broadband LaneWorker Type:PRNWork Shift:Day Shift (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$30.50 - $45.75Position Highlights8:00am-4:30pm as needed; PRNYou Belong at AveraBe part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview

Accountable for the coordination of the patient's clinical services between hospital setting and the home setting. Promotes, educates and coordinates services when the patient is transferred from the hospital to care transitions, home healthcare or hospice services. ---

What you will do

• Serves as home care expert and resource to referral sources and/or agency staff regarding patient care, treatments and services that can be provided in the home/hospice setting including skilled and nonskilled services or other programs.
  
• Provides clinical assessment and assists referral sources with identification of appropriate services in the post-acute home care setting including education regarding admission criteria.
  
• Obtains physician orders, face to face, for home care/hospice services prior to each patient's admission to home care.
  
• Coordinates the home care/hospice plan as ordered by the physician.
  
• Clinical excellence and ability to proactively determine actual and potential complications in the home setting of care delivery for success of the patient.
  
• Documents each patient's home care plan and coordination activities according to standards established by Avera.
  
• Facilitates communication between entities and assigned hospital/agency staff, identifying and reporting processes in the system where communication and/or continuity of care can be improved.
  
• Maintains knowledge of Federal and State regulations as well as Agency policies and procedures.
  Essential Qualifications
  
  The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
  
  Required Education, License/Certification, or Work Experience:
  
  
  • Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire
    Preferred Education, License/Certification, or Work Experience:
    
    
    • 1-3 years home health/hospice related experience
      Expectations and Standards
      
      
      • Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
        
      • Promote Avera's values of compassion, hospitality, and stewardship.
        
      • Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
        
      • Maintain confidentiality.
        
      • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
        
      • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.
        Avera is an Equal Opportunity/Affirmative Action Employer Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.
        
        Keywords:
        Registered Nurse, patient care coordination, home healthcare, hospice services, clinical assessment, patient transitions, healthcare regulations, multidisciplinary team, Avera Health
        

Keywords: Avera Health, Sioux Falls , Registered Nurse (RN) - Patient Care Coordinator, Healthcare , Sioux Falls, South Dakota