The Care Coordination Nurse ensures quality patient care in the appropriate setting through care coordination, case management, coordination of hospice and home-based palliative care admissions, and transitions to different levels of care. The Care Coordination Nurse collaborates to organize individualized plans of care and communicates the plan to appropriate stakeholders. Practices professional nursing and promotes patient advocacy in accordance with the ANA Code of Ethics for Nurses. Maintains a current Ohio Nursing License.

Job Description:

Essential Functions:

Assesses existing or incoming referral patient/family strengths and needs. Develops a family-centered plan of care as a member of the interdisciplinary team and as requested by the hospice program manager.
Manages transitions between settings, caregivers, and providers. Facilitates communication and collaboration amongst the health care team, supporting the complex needs of hospice and home-based palliative care patients and ensuring the most seamless experience as possible.
Attends and coordinates inpatient care conferences for home-based patients as requested by the attending provider or hospice program manager.
Assists in educating others regarding the role of care coordination/case management. Participates in ongoing education related to information technology requirements for the department.

Education Requirement:

BSN, required.

Licensure Requirement:

Current licensure as a registered nurse in the state of Ohio is required.
Valid Ohio driver’s license and proof of auto insurance as required by hospital policy. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children’s Hospital and maintain qualification of insurance guidelines.

Certifications:

Pediatric certification, Advanced-Continuity of Care Certification (A-CCC), or other Case Management certification desirable.

Skills:

Ability to communicate with health care professionals, by demonstrating diplomacy, tact and a professional demeanor.
Working knowledge of CMS and other review agency standards.
Demonstrated ability to effectively collaborate and delegate tasks.
Ability to relate to diverse age and demographic backgrounds.
Computer literate. Working knowledge of MS Office.
Professionally appropriate analytical and organizational skills required.

Experience:

Five years of nursing experience.
At least one year in pediatric nursing is highly preferred.
Nursing experience may include inpatient nursing, case management, utilization review, discharge planning, community health nursing.
Utilization review, and/or discharge planning experience desirable.

Physical Requirements:

OCCASIONALLY: Biohazard waste, Blood and/or Bodily Fluids, Communicable Diseases and/or Pathogens, Fume /Gases /Vapors, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder

FREQUENTLY: Bend/twist, Climb stairs/ladder, Color vision, Depth perception, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Peripheral vision, Seeing – Far/near, Squat/kneel, Standing, Walking

CONTINUOUSLY: Audible speech, Decision Making, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Sitting

Additional Physical Requirements performed but not listed above:

(not specified)

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

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