Care Coordinator, - Webb Primary Care Clinic

Job Summary

Under general supervision, the RN Care Coordinator (RNCC) is responsible for facilitating and coordinating the care delivered to an assigned group of patients through multidisciplinary and patient / family collaboration to ensure quality and cost-effective outcomes are delivered within appropriate care coordination parameters.

Coordination involves assessment, planning, support, and evaluation of patient care and related outcomes. Activities to be performed are facilitation of appropriate status and level of care, screening for high risk and transition of care needs, interviews with patient / family, and progression of care facilitation with the healthcare team.

Encounters occur face to face, telephonically, and electronically with patients in clinic, at home, at school, and at work.

Is an active contributor in the development of systems (e.g. care maps, clinical paths) to improve the care of assigned patient populations.

Helps ensure compliance with state, federal and third-party payor requirements.

Essential Functions :

Uses Nursing Process to Create patient and family centered goals and plansEstablish and maintain patient and family centered relationshipsCollect assessment data relating to patient health needs and concerns.

Analyze assessment data to determine patient and family needs. Work with patient and family to identify goals and outcomes.

Develop evidence-based interventions and care plans to support goals and outcomes.Implement plan with patient, family, care team.

Conduct systematic and timely evaluation of outcomes of nursing care and care plan. Document care according to organizational standards, contractual and regulatory requirements, state and federal laws.

Encourage preventative care.Assist and educate patient and caregivers. Support patients and caregivers in developing skills to promote, maintain and restore health.

Review and educate patient and caregivers on medications and treatments.Incorporate cultural humility, language appropriateness, health literacy, and preference into patient care, care plans and communication. (40%)

Care ManagementWork within and in support of the health care team to coordinate the delivery of care within the clinic setting, throughout the organization, and across healthcare settings.

Delegate appropriate intervention to care team members based on scope, competency, state practice act, standard work and organizational policies.

Provide information to the healthcare team, including patient and family regarding resources and benefits to support safe transitions and timely provision of healthcare services.

Advocate to secure benefits for patient and identify potential barriers to payer coverage. Serve as point of contact with the patient and among healthcare services and organizations.

Coordinate community resources. Provide care management to appropriate patients and according to organizational policies and payer guidelines. (40%)

Professional Practice and CollegialityFlexible and accommodating to patient, clinic setting, community, payer, and organizational needs.

Attain and maintain knowledge and competency to reflect current evidence-based nursing practice. Proactively assess needs of others : care team members, patients, and families.

Contribute to positive, supportive, healthy and inclusive work environment through positive interactions, respectful communication and creative solutions. (20%)

Education :

Associate's Degree Completion of a nursing education program that satisfied the licensing requirements of the Colorado State Board of Nursing for Registered Nurses. Required

Work Experience :

1-3 years Three years clinical experience in a hospital, acute care, home health / hospice, direct care or case management required. Required

Licenses :

• RN-Registered Nurse - DORA - Department of Regulatory Agencies Required and
• BLS-Basic Life Support (BLS / CPR) - AHA - American Heart Association Required

Knowledge, Skills and Abilities :

• Bilingual in English / Spanish preferred.
• Knowledge and understanding of case management / coordination of care principles, programs, and processes in either a hospital or outpatient healthcare environment.
• Effectively collaborate with and respond to varied personalities in differing emotional conditions, and maintain professional composure at all times.

Strong customer service orientation and aptitude.

• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
• Ability to communicate verbally and in writing complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
• Proficient in Microsoft outlook, Word, and Excel
• Experience with electronic health records and documentation of care coordination services preferred.

Shift

Work Type

Regular

Salary

$78,802.00 - $118,203.00 / yr

Benefits

Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.

5%, and generous medical plans

Free RTD EcoPass (public transportation)

On-site employee fitness center and wellness classes

Childcare discount programs & exclusive perks on large brands, travel, and more

Tuition reimbursement & assistance

Education & development opportunities including career pathways and coaching

Professional clinical advancement program & shared governance

Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

Respect

Belonging

Accountability

Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured.

Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit :

Applicants will be considered until the position is filled.