Clinical Care Coordinator - RN

Sisters of the Holy Names•Lake Oswego, OR

8d•Onsite

About The Position

As part of the Health and Well-Being team, provides nursing care management to SNJM Sisters living in the on-site facility. Consults and advises regarding healthcare needs and services. Enhances Sister’s understanding of her own medical needs.

Requirements

Graduation from an accredited nursing program
Unencumbered RN license in the State of Oregon
3 years’ experience
Must be supportive of the mission of the Sisters of the Holy Names of Jesus and Mary.
Must model SNJM Guiding Values in carrying out work activities and responsibilities.
Must be able to respect and maintain confidentiality of sensitive information.
Thorough knowledge and understanding of the concepts of aging and concerns of the elderly population.
Demonstrated ability to communicate professionally, empathetically, and compassionately with elder population who may be ill, disabled, hospitalized, and/or experiencing loss.
Understanding of and ability to maintain appropriate professional boundaries.
Demonstrated knowledge of and experience coordinating community resources in Portland metro area, with ability to research, evaluate, and coordinate community resources in other areas of Oregon as needed.
Ability to develop and maintain collaborative relationships with SNJM Sisters, staff, and external contacts.
Must be able to function independently and have flexibility, personal integrity, and the ability to work effectively with Sisters, staff, providers, and external facilities.
Excellent organizational skills and ability to prioritize and execute tasks in a timely manner.
Demonstrated written and verbal skills to ensure effective communication.
Ability to respond to urgent and/or stressful situations appropriately and calmly.
Proficient knowledge of Microsoft Office and other computer software programs including, but not limited to Word, Excel, Outlook.
Valid drivers' license.
Ability to travel within Portland Metro area fulfilling job responsibilities.

Nice To Haves

Clinical experience in long-term care, geriatric, home health or behavioral health a plus

Responsibilities

Assists and advises individual Sisters who have requested assistance or who have been identified as needing assistance with healthcare and related services.
Performs all essential functions of care coordination with includes assessment, development of health and related needs-based plan, implementation, monitoring, evaluation and adjustment.
Leads daily rounds of Sisters living in Mary’s Woods and the Provincial House.
Keeps Director of Healthcare Services and Director of Clinical Care and those appropriately involved in a particular Sister's health situation updated on a regular basis.
Maintains positive, professional working relationships with physicians, nursing, social services, pastoral, and other staff at Mary’s Woods to facilitate optimal care of Sisters.
Assists Sisters in communicating with healthcare providers (physicians, discharge planners, home health agencies, hospice and healthcare facilities, etc.)
Assists in transitioning Sisters as needed to other levels of care. Maximizes use of services provided at facilities.
Transports and accompanies Sisters to medical appointments when health advocacy is needed, or supports others in doing so, especially at times of health transition, surgery, etc. Serves as a resource to Sister and her chosen support person(s).
Assist physicians with on-campus visits.
Conducts monthly DHS clinical reviews by phone.
Works integrally with and as a resource to SNJM Community Life Enrichment staff and provides support as needed for activities.
Attends Mary’s Woods care conferences weekly.
Attends and participates in SNJM Health and Well-Being team meetings.
May occasionally provide direct nursing care services on a limited basis with the approval of the Director of Healthcare Services.
Document Sisters progress notes/updates in tracking document.
Other related duties as needed and/or directed.