Cleveland Clinic·Mayfield Heights, Ohio
The RN Care Coordinator manages high-risk neurology patients by providing longitudinal disease management and coordinating care across a multidisciplinary team. Key duties include conducting clinical assessments, performing patient outreach, and facilitating smooth transitions between care settings to reduce readmissions.
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Schedule: 8:00am-5:00pm
Join Cleveland Clinic and experience world-class healthcare at its best. Cleveland Clinic Hillcrest Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career.
As a Care Coordinator, you will work collaboratively with multidisciplinary care team staff across the continuum of care for high-risk patients. In this role, you will provide coordination of care and disease management longitudinally for patients with chronic conditions or episodic care for a surgical population. You will focus on patient outreach and care coordination for a panel of patients to achieve optimal outcomes and promote wellness, helping to decrease preventable emergency department visits and readmissions while improving patient satisfaction.
00am to 5:00pm with no weekends, holidays or evenings required.
Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
Provide care and disease management coordination.
Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.
Conduct comprehensive clinical assessments that include disease/age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.
Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care.
Serve as a liaison and advocate for patients and families.
Assist in managing transitions of care across care settings, ensuring optimal communication and planning.
Identify barriers, facilitate solutions, and connect others to community resources.
• Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ [https://info.flclearinghouse.com/]
Please review the Equal Employment Opportunity poster [https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal].
Cleveland Clinic is pleased to be an equal employment opportunity employer.
Market context
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