About The Position

Join Cleveland Clinic’s Digestive Disease Institute and become a part of one of the most respected healthcare organizations in the world. The Digestive Disease Institute specializes in medical and surgical treatments for disorders related to the gastrointestinal tract. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation and build a rewarding career with one of the most distinguished otolaryngology medical centers in the country. Cleveland Clinic Care Coordinators have been very successful in helping patients manage their own care. Their hard work, dedication and commitment has led to a decrease in Emergency Department visits, observation status, inpatient stays and hospital readmission in care coordinated patients. Enjoy the flexibility of working from home two days per week, while staying connected and collaborative with your team in-office the rest of the week.

Requirements

  • Graduate from an accredited school of professional nursing.
  • Current state licensure as a Registered Nurse (RN).
  • Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross.
  • Three to five years of nursing experience.

Nice To Haves

  • Bachelor of science in nursing (BSN).
  • Specialty certification.

Responsibilities

  • Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
  • Provide care and disease management coordination.
  • Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.
  • Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.
  • Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care.
  • Serve as a liaison and advocate for patients and families.
  • Assist in managing transitions of care across care settings, ensuring optimal communication and planning.
  • Identify barriers, facilitate solutions, and connect others to community resources.
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