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RN Care Coordinator

As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy.

We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania.

Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts.

At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. 

The RN Care Coordinator will coordinate team-based care to provide health services and education to patients and families through effective partnerships with the PCP, community resources and medical professionals, the patient’s medical home team, and the Nemours organization.  This position will be responsible for covering multiple Nemours primary care practices based in PA.

Local travel between sites will be required.

Provides Care Coordination in the Primary Care setting by utilizing critical thinking skills and nursing expertise in order to optimize patient outcomes amongst designated populations within the practice.  Works with patients and families to ensure both medical and psychosocial needs are met in order to promote health and well-being.

Addresses gaps in care and promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.

Requirements:

BSN required

Must have or be eligible for PA and DE nursing license

Pediatric experience required

CPR Certification with the American Heart Association

Reliable transportation for local travel

Essential Functions


* Assist with the identification of patients in the practice with special health care needs;  add them to the appropriate registry and use the registries to plan and monitor care.

Monitors and audits patient registries/lists in accordance with NCQA Standards.  Assists children with special health care needs  and families in obtaining needed care to optimize quality of life and outcomes when possible.


* Initiate family contacts and facilitate patient access to, and communication between, physicians and other team members.


* Identify patient and family needs, gaps and/or barriers to care and patient/family strengths and assets.  Assess biopsychosocial needs of at-risk patients, i.e., single parents, substance abuse, complex medical patients, behavioral health issues, etc.

facilitating appropriate connection to resources available to assist the patient and family to meet needs and overcome barriers to care.


* Works cooperatively with families, patients, other members of the treatment team, social service agencies, community resources, and public agencies.Â...




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