Field Service Coordinator, RN - Nursing Facility

About This Role

The Field Service Coordinator, RN assesses, plans, and implements individualized care strategies for patients within a nursing facility setting. This role involves managing care plans, making referrals to social service programs, and advocating for patients' needs to ensure quality coordinated care.

Responsibilities

• Assess, plan, and implement care strategies individualized by patients and directed toward the most appropriate, least restrictive level of care
• Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
• Manage the care plan throughout the continuum of care as a single point of contact
• Communicate with all stakeholders required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
• Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
• Make outbound calls and receive inbound calls to assess members' current health status
• Identify gaps or barriers in treatment plans

Requirements

• Active RN license in the state of Texas
• 2+ years of experience working within the community health setting in a health care role
• Experience in long-term care, home health, hospice, public health or assisted living
• Valid driver's license, reliable transportation, and the ability to travel up to 75% in assigned regions

Qualifications

• 2+ years of experience working within the community health setting in a health care role

Nice to Have

• Bachelor's Degree
• Certified Case Manager (CCM)
• 5+ years of experience working with MS Word, Excel and Outlook
• 5+ years of experience documenting in an electronic documentation system
• Experience with electronic charting
• Case management experience
• A background in managing populations with complex medical or behavioral needs

Skills

* Required skills

Benefits

Certifications