Summary: Under the guidance of the Director of Nursing, the Care Coordinator will assess all admission referrals from acute care settings or other facilities. They will evaluate patients' skilled/Long Term Care requirements, verify eligibility benefits, and ensure alignment with organizational strategic goals before admitting them. Essential Duties and Responsibilities: • Analyze clinical and financial data to identify suitable patients for placement according to organizational strategies. • Provide prompt responses to referring facilities following analysis of placement appropriateness. • Gather necessary medical, financial, and social information for patient care establishment. • Disseminate admission information to the d’Youville team as needed and consult the medical team for referrals when necessary. • Collaborate with patients and their significant others to establish admission goals and care plans. • Develop and regularly update individualized, multidisciplinary care plans, incorporating age-specific knowledge. • Review and document discharge plans/instructions with patients, and initiate referrals to available resources as needed. • Conduct patient follow-up calls to ensure quality and satisfaction, administering satisfaction surveys. • Act as a liaison for external agencies, coordinating with the interdisciplinary team for successful admissions. • Ensure preparedness for patient needs, including medications, IV therapy, and equipment, upholding clinical standards and policies. • Familiarize with acceptable diagnoses for admissions and reimbursement. • Maintain patient safety through infection control measures and appropriate equipment use. • Manage crisis periods calmly, coordinating discharge needs across all disciplines. • Verify managed care company rates and insurance coverage, obtaining pre-certification for necessary equipment. • Complete referral documentation and collect and prepare patient information for relevant departments. • Document nursing care actions, observations, and patient responses, reporting changes promptly and accurately. • Make referrals to external resources and communicate admission/discharge information to departments and physicians. • Attend department meetings, serving as a resource and providing education in areas of expertise. • Stay informed of field advancements, maintaining education/training logs. • Adhere to infection control practices, utilizing gait belts as needed, and attend safety education sessions to promote safe practices. • Understand and articulate organizational safety goals. • Supports and promotes the mission and values of Covenant Health Ministry. • Other duties consistent with this role. Job Requirements Job Knowledge and Skills: • Must be able to speak clearly, read, write, and comprehend the English language. • Customer service, interpersonal, and organizational skills. • Knowledge of Geriatric care desired. • The ability to speak, read, write, and understand written instructions in English is required. • Follow verbal and written instructions. • Flexibility required to provide coverage 24 hours/day, 7 days per week. Maybe be asked to float to other units. • Computer skills & mathematical skills. Medical terminology required. • Ability to multitask and make decisions under pressure. • Work alone and as part of a team. Education and Experience: • 0-1 year of experience working with Geriatrics patients desired. • Valid State of Maine Licensed Practical Nurse. An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands: OSHA standards Category I, exposure to blood/body fluids or tissue. Must be able to work in a high-paced environment where multitasking, prioritizing and sound decision-making skills are required. Exposed to disease, illness, infections, strains, and physical injury. You must possess the physical and mental abilities to perform the tasks normally associated with this position, which involves a combination of sitting, (standing up to 8+ hours), twisting, walking, bending, stooping, and reaching. Lifting/carrying up to 35 lb's frequently. Lift from waist level up to 35 lbs. Lift from shoulders/head up to 35 lbs. Some stress related to it is a high level of responsibility for quality care. Although this position is normally assigned a regular shift, flexibility is required to provide coverage 24 hours/day, 7 days per week. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, care, and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable, and suffering. •Integrity We promote justice and ethical behavior and responsibly steward our human, financial, and environmental resources. •Collaboration We work in partnership, dialogue, and shared purpose to create healthy communities. •Excellence We deliver all services at the highest level of quality while seeking creative innovation. Applicants, employees, and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).