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Job Details

RN Care Coordinator Pediatric Medical Home

Company name
The Coordinating Center

Millersville, MD, United States

Employment Type

Healthcare, Nursing

Posted on
Jul 10,2019

Valid Through
Oct 23,2019

Apply for this job


RN Care Coordinator (Pediatric Medical Home)


Care Management


Millersville, MD


Position Summary:†

Part time flexible hours

- 4 hours per day (8am-5pm) Mon-Friday

The R.N. Care Coordinator is The Coordinating Centerís licensed health care professional who provides care management services for children and youth with special health care needs and their families. VIPKids participants are referred by participating pediatric offices who have agreed to partner with The Coordinating Center.† The R.N. Care Coordinator is a key member of a multi-disciplinary team responsible for providing coaching and care coordination to the target population.† This position supports the team by reviewing all referrals that come from participating pediatric practices. This position helps identify the overarching goal of the family, addresses barriers to care, develops a shared care plan, and works with the family to identify and access appropriate resources to address gaps.† The R.N. Care Coordinator works closely with Outreach and Resource Specialist in identifying appropriate community resources to meet the child/youth and family needs.† The R.N. Care Coordinator promotes health care transition for youth who are of transition age, and provides age appropriate resources.† The R.N. Care Coordinator also responds to alerts generated by Marylandís Health Information Exchange, CRISP for a subset of children/youth who are high risk of repeat hospital use.

The multi-disciplinary team works out of The Coordinating Centerís Millersville location and delivers services telephonically and in-person at a memberís home, a healthcare facility and other locations in the greater Baltimore area as determined by the member and the team.

Essential Responsibilities

Provide individual assistance and support to parents of CYSHCN regarding health care strategies and community resources.

Provide care coordination across care settings, helps individuals and families/caregivers play an active and informed role in care plan design and execution.

Promote shared decision making to develop person-centered goals and a shared care plan.

Uses motivational interviewing techniques when communicating with families to address health disparities and barriers to care.

Promote timely access to care and connections with community resources.

Screen all referrals for health care transition readiness and provides education and resources to promote effective health care transition from adolescence to adulthood.

Provide trainings to participating pediatric practices related to CYSHCN (e.g. health care transition, public funded programs for children, etc).

Responsible for reviewing and responding daily to CRISP ENS alerts for a subset of referrals based on risk level as identified by the pediatrician.

Participate in the Medical Home Think Tank to strengthen the VIPKids Program.

Assist with data collection and interpretation of the data to generate reports.


Bachelors of Science degree in nursing (minimum), Masterís degree is preferred.

CCM certification is preferred and is required within two years of the date of employment at The Center.

Strong motivational interviewing skills

Strong critical thinking skills to determine identified issues and gaps to prioritize issues and outcomes.

Minimum three yearsí experience in pediatric

case management, e

xperience in working with children with special health care needs preferred.

Expertise in relationship building, community resource development, and person- and family- centered philosophy.

Experience in coordinating community based services.

Experience in care transitions desired.

Additionally, R.N. Care Coordinators will demonstrate high clinical competence, an ability to work in a team situation with other professionals and have the ability to carry out responsibilities with minimal supervision.

Proof of current state licensure and current malpractice insurance coverage is required


Company info

The Coordinating Center
Website :

Company Profile
Founded in 1983 as The Coordinating Center for Home and Community Care, Inc., (CCHCC) this non profit corporationwas first organized as a consortium and was initially funded by a federal Maternal Child Health Bureau (MCHB) Special Projects of Regional and National Significance (SPRANS) grant. The purpose of this grant was to develop a care coordination model designed to effect the transition from hospital to home of children who were then hospitalized with complex medical diagnoses requiring ventilator support.

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