RN Care Coordinator

We need an RN Care Coordinator to join our team at The Advanced Therapy Center at Chesterwood Village in West Chester, Ohio
.

$36 to $43 Per Hour

You’ll collaborate with skilled residents, families, and the Interdisciplinary Team (nursing, therapy, social services, and case management) to coordinate care and services delivered during skilled stays (upon admission up to 30‑days post‑discharge).

You’ll complete admission assessments with residents/family within 48 hours of admission in order to facilitate resource management, treatment plan formulation, and discharge planning. You’ll also effectively communicate with residents, families, and the Interdisciplinary Team to promote patient‑centered care and improve clinical outcomes.

• Developing individualized plans of care & communicating them to the appropriate stakeholders

• Identifying the social, emotional, physical, mental, & financial needs of each resident
• Coordinating&communicating with nursing staff regarding clinical needs during the skilled stay
• Collaborating with therapy to identify therapy goals
• Communicating expected length of stay with residents/families to assist with discharge planning
• Collaborating with social services to meet the resident’s psychosocial & socioeconomic needs during the skilled stay and upon discharge (including arranging for follow up community services, home health referrals, and alternative placements)
• Collaborating with Case Management to complete accurate & timely documentation to support on‑going skilled need
• Ensuring high quality care is provided as efficiently & cost‑effectively as possible during the skilled stay
• Facilitating continuity of careby coordinating the transition from skilled stay to post‑discharge& ensuring the resident needs are met to prevent rehospitalization
• Attending daily clinical rounds, twice-weekly UR (Utilization Review) meetings, and Care Conferences to collaborate with the Interdisciplinary Team (nursing, social services, therapy, and case management) on skilled stay & post‑discharge needs
• Practicing professional nursing & promoting patient advocacy in accordance with the ANA (The American Nurses Association) Code of Ethics for Nurses

• An active, unencumbered Ohio RN license (BSN preferred)
• At least 5 years of skilled nursing experience in a long‑term care setting
• General knowledge of Medicare Part A & Managed Care insurance plans in the skilled nursing setting
• General knowledge of how the Interdisciplinary Team functions individually & with each other in skilled nursing facilities (nursing, therapy, social services, and case management)
• An active American Heart Association BLS/CPR certification (with in‑person skills portion
• The a bility to work Monday‑Friday 8:00am‑4:30pm with an On‑Site Weekend Rotation once every 5 weekends (will take off a weekday before/after the on‑site weekend rotation)

• Paid Time Off
• Paid Training
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Disability Insurance
• 401K with Employer Match
• Flexible Schedule
• Education Scholarships

• Continuing Education Credits
• Employee Discounts

Exceptional Care
Quality Service
are the hallmarks of
Chesterwood's in‑house team
of talented and experienced licensed therapists, nurses and caregivers.

Chesterwood is an EOE/M/F/D/V and Smoke‑Free Workplace.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.