RN Care Coordinator- Taylor Mill Primary Care

Job Type : Regular

Scheduled Hours : 40

Job Summary :

Reports to the RN Manager of Care Coordination, the RN Care Coordinator (OCC) works collaboratively with providers, interdisciplinary staff, and clinical associates, in person and telephonically, at any / all SEP offices to support patients with chronic conditions and / or complex needs according to guidelines established by SEP and other clinical programs such as PCF etc. Facilitates effective communication, coordinates services, address barriers, and provides education and guidance for patients related to current health concerns.

DIMENSIONS :

A RN Care Coordinator- Office Care Coordinator works in person and telephonically as a member of the interdisciplinary team. A RN Care Coordinator- Office Care Coordinator understands and adheres to established best practice care management standards of care. A RN Care Coordinator- Office Care Coordinator understands and coordinates care using evidence based clinical guidelines for chronic disease management.

Job Description : Job Title :

SEP - RN Care Coordinator (OCC)

DUTIES AND RESPONSIBILITES :

• Documents in chart appropriately utilizing care management documentation.
• Provides patient care through collaborating with patients, providing education and clear direction to the patient and address patient concerns regarding care. The RN engages in critical thinking to meet patient needs.

Support Chronic Disease Management and Patient Care Needs :

8, elevated LDL and / or blood pressure, Mental Health Integration referral, complex needs)

Provide support for patient and family issues, resource needs, and answering general healthcare questions.

Provides ongoing management for chronic conditions, working with patients to meet healthcare goals per cadence expectations.

Patient Education :

Work collaboratively with patients to assess needs and develop a patient education plan of care.

Ensures complete and accurate information in the Electronic Health Record.

Coordinate referrals to community resources (e.g. home health, Durable Medical Equipment, support groups)

Assess patient for additional needs, develop nursing plan of care and contact physician for order-dependent items.

REQUIRED SKILLS AND KNOWLEDGE :

Ability to manage and prioritize multiple tasks.

Knowledge of electronic Health Records – (EPIC)

Knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills as needed.

Good organizational skills.

Work professionally with doctors, hospital administration and management, SEP associates and the public.

Organized, neat and self-motivated.

Warm personality with concern for others.

Excellent verbal and written communication skills.

Excellent interpersonal skills.

Ability to affect change.

Ability to perform critical analysis.

Self-directed

Work well telephonically as well as face to face.

Can work autonomously.

Be familiar with motivational interviewing with patients.

Positive attitude

Quest for learning and excellence.

OTHER REQUIRED SKILLS AND KNOWLEDGE :

Previous Quality Assurance experience preferred

EDUCATION :

LICENSES AND CERTIFICATIONS :

YEARS OF EXPERIENCE :

FLSA Status : Non-Exempt

Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.