COMM CARE COORD RN

McKenzie Health System•Peck, MI

About The Position

The Community Care Coordinator - RN collaborates with providers and other care team members to assist patients with chronic care management, prevention and wellness, and effective transitions of care. The role identifies patients at risk of worsening chronic conditions, patients with complex chronic diseases, and patients using inappropriate care resources because of unmet primary care access needs. Working with the care management team, the coordinator promotes effective use of community resources, patient self-management of chronic disease, and timely access to appropriate care. The role also collaborates with providers in performing annual wellness visits. This is a full-time position in Healthcare Practices, 40 hours per week. Hours may be adjusted in response to workload demands, and weekend or evening hours may be required. Low census may be utilized in accordance with hospital policy.

Requirements

  • Graduate of an accredited School of Nursing.
  • Proficiency using software programs and ability to work in an Electronic Medical Record.
  • Ability to adapt to change and manage multiple projects simultaneously.
  • Ability to establish good working relationships and communicate effectively with providers, peers, patients, families, and other support personnel.
  • Ability to communicate in spoken and written English and to read English.
  • Administrative skills essential to the job.
  • Ability to handle multiple tasks in stressful situations while maintaining composure and excellence.
  • Maturity and emotional stability, with responsibility, initiative, honesty, and a positive attitude.
  • Ability to keep detailed records, report results, and work independently as needed.
  • Current Michigan Board of Nursing license as a Registered Nurse, or license pending for new graduates, with required renewals.
  • Current BLS certification required within 6 months of hire.

Nice To Haves

  • BSN or equivalent degree.
  • Previous experience in Care Coordination, Case Management, or Public Health.

Responsibilities

  • Collaborate with providers and care team members on chronic care management, prevention and wellness, and transitions of care.
  • Identify patients at risk of worsening chronic conditions, living with complex chronic disease, or using inappropriate care resources due to unmet primary care access needs.
  • Work with the care management team to promote effective use of community resources and patient self-management of chronic disease.
  • Support timely patient access to the appropriate care.
  • Collaborate with providers in performing annual wellness visits.
  • Maintain detailed records, report results, and work independently as needed.
  • Contribute to the total health system, including serving on clinic or hospital committees.
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