Chronic Care Management Coordinator RN
About The Position
The RN Chronic Care Management Coordinator is responsible for the growth and maintenance of the care coordination program. This includes oversight and management of patients enrolled in care management services, ensuring the completion of the annual wellness visit and follow-up on all elements of the preventative plan of care, and completing discussions of advance care planning with patients. These responsibilities will be fulfilled through collaboration with intra and interdepartmental staff of the organization, outreach, disease management/care management, care coordination/health promotion, and education/training and motivational support to patients, referral sources, and the community. This position aims to improve the quality of life for enrolled patients by supporting quality outcomes, smooth care transitions, coordinating care across the health continuum, and encouraging healthy lifestyle choices to reduce the long-term effects of chronic illness. This position is accountable for working with and representing our clinics across multiple constituents and for the financial performance of the program.
Requirements
- A minimum of one-year recent clinical professional nursing experience is required.
- Must be able to perform the essential functions of the job to serve patients of all ages.
- Current licensure in the State of Washington as a Registered Nurse.
- BLS certification.
Nice To Haves
- 3-5 years of clinical professional nursing experience recommended.
- Minimum of one-year recent home care experience preferred.
- 3 years clinical experience including working with the geriatric population preferred.
- Previous work experience with educating patients and patient goal setting preferred.
- Previous work experience in an autonomous position.
- Knowledge/experience with Cross Tx CCM platform.
Responsibilities
- Oversight and management of patients enrolled in care management services.
- Assurance of the completion of the annual wellness visit and follow up on all elements of the preventative plan of care.
- Completion of discussions of advance care planning with patients.
- Collaboration with intra and interdepartmental staff of the organization, outreach, disease management/care management, care coordination/health promotion, education/training and motivational support to patients, referral sources and the community.
- Improve the quality of life of patients enrolled through supporting quality outcomes, smooth care transitions, coordination of care across the health continuum, encourage healthy lifestyle choices to reduce long term effects of chronic illness.
- Working with and representing clinics across multiple constituents.
- Ensuring the financial performance of the program.
Benefits
- Benefit eligible for employees who work a 0.6 FTE or higher.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
