About The Position

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.

Requirements

  • Graduate of an accredited baccalaureate school in a healthcare-related field.
  • Current Registered Nurse California license.
  • BLS Certification (American Heart Association) required.
  • Experience working in the ambulatory clinic healthcare setting.
  • Ability to work independently in a fast-paced, demanding environment with minimal supervision; ability to manage and oversee multiple tasks simultaneously, including high daily call volume.
  • Excellent oral and written communication skills.
  • Diverse and culturally sensitive customer service skills.
  • Ability to manage high stress, chronically ill population with complicated psycho-social issues.
  • Computer skills- Microsoft Word, Excel

Nice To Haves

  • Two-year navigation experience in Cardiology and/or Women’s Health programs preferred.
  • Prior experience leading groups of clinical and non-clinic staff for care coordination preferred.
  • Experience working with healthcare payor systems preferred.

Responsibilities

  • Guides patients through complex cardiovascular care pathways (e.g., structural heart, heart failure, women’s heart health).
  • Acts as a liaison between cardiologists, primary care providers, and the interdisciplinary team.
  • Triages patients’ physical symptoms / arrhythmias appropriately and consults with cardiologists per protocol.
  • Participates in Transition of Care Management to ensure discharge medications and instructions are understood by patient and/or family members.
  • Updates medication and problem list in the Electronic Health Record and ensures follow-up with cardiologists.
  • Educates patients and families on cardiac conditions, medications, and lifestyle modifications.
  • Oversees the gathering of patient information and records from healthcare providers in preparation for appointment.
  • Ensures that subsequent medical information is added to patient chart as necessary.
  • Refers patient to appropriate staff regarding advance directives, community resources, transportation and insurance issues.
  • Facilitates access to medical team and informs physician of status changes or obstacles to patient treatment compliance.
  • Reviews diagnostic results, manages caseloads, and tracks patient progress, particularly in reducing readmission rates.
  • Takes initiative to identify and provide solutions to work-related problems, continuously seeking ways to improve services.
  • Updates Clinical Leader of changes affecting their schedule
  • Promotes C.A.R.E.S. standards within the MarinHealth organization.
  • Assists in maintaining safety standards within the clinic.
  • Supports program development in collaboration with Cardiology Leadership and key Cardiologists.
  • Coordinates care with the multi-disciplinary care team including need for interpreter services and facilitates referrals as needed.
  • Tracks data in Population Health management system with EPIC (APeX) and develops care pathways that support patient’s healthcare journey.
  • Maintains and helps to ensure that all documentation is in a state of audit-readiness.
  • Promotes ongoing communication and collaboration with the clinical leader, physicians, and appropriate staff to ensure patient safety and adherence to clinic protocols.
  • Communicates with internal and external referrals to ensure prompt patient access.
  • Professional representative within the clinic and the community.
  • Participates in clinic meetings as required.
  • Demonstrates positive initiative and cooperation between departments.
  • Other duties as assigned.

Benefits

  • Measles, mumps, varicella, and annual influenza immunizations
  • COVID-19 vaccination/booster

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

501-1,000 employees

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