Patient Care Coordinator, RN - WGH Primary Care Oak St

Wabash General Hospital•Mt Carmel, IL

14h

About The Position

Are you a compassionate Registered Nurse looking to make a meaningful impact in patient care? Join our growing team of Patient Care Coordinators (PCC) at WGH, where we focus on improving outcomes through chronic care management, transitional care management, and quality initiatives. As a PCC RN, you'll work in a non-traditional, office-based role that allows you to build lasting relationships with your patients. You'll manage your own panel of patients, providing monthly check-ins, follow-up calls after discharge, and engaging in community outreach to identify and support those in need. At the heart of this role is patient advocacy - connecting individuals with resources and support to enhance their care and overall well-being. The Patient Care Coordinator assists the physician or mid-level provider in formulating and implementing a care management plan that addresses the patients identified needs by assessing the patient/family needs, issues, resources, and care goals; determining the choices available to individual patients; educating the patient/family on the choices available. Establishes a care management plan that is mutually agreed upon by the health care team and the patient/family. Plans will contain specific mutual self-management goals, objectives, and interventions with the patients are action-oriented. Duties include, but are not limited to, educating patients and their families, making referrals to other care providers by providing chronic care management services for patients. Duties will also include transitional care follow up calls for recently discharged patients, Medicare annual wellness screenings, and improving communication among care providers to improve patient outcomes. Will review utilization and quality reports routinely to identify patient gaps in care and any needs for additional support of the care management team.

Requirements

Graduate of an accredited school of nursing
Current license as a registered nurse
Current CPR certification
Clinical experience preferred but not required
Ability to perform functions with minimal supervision
Effective telephone communication skills
Proficiency in medication indications and side effects, understanding of medical tests and requirements for tests
Good working knowledge of the nursing process and strong nursing practice skills including physical assessment skills
Excellent written and oral communication skills required
Excellent computer skills required
Excel experience preferred
May be required to work any day of the week including holidays and weekends

Nice To Haves

Previous experience with care coordination preferred

Responsibilities

Manage a panel of patients, providing monthly check-ins.
Make follow-up calls after discharge.
Engage in community outreach to identify and support those in need.
Assist the physician or mid-level provider in formulating and implementing a care management plan.
Assess patient/family needs, issues, resources, and care goals.
Determine the choices available to individual patients.
Educate the patient/family on the choices available.
Establish a care management plan that is mutually agreed upon by the health care team and the patient/family.
Educate patients and their families.
Make referrals to other care providers by providing chronic care management services for patients.
Provide transitional care follow up calls for recently discharged patients.
Conduct Medicare annual wellness screenings.
Improve communication among care providers to improve patient outcomes.
Review utilization and quality reports routinely to identify patient gaps in care and any needs for additional support of the care management team.

Benefits

Health Insurance Medical, dental, and vision coverage options.
Free internal prescription program
Employer contributions to premiums.
Retirement Plans 457(b) plan with employer matching.
401(a) plan for employer contributions.
Paid Time Off (PTO) Vacation days: 12 to 27 days per year based on years of service Sick days: 12 days per year accruing to a maximum of 65 days.
Holidays: 6 observed paid holidays
Flexible work schedules
Employer-provided life insurance with optional additional coverage available at the employee's expense.
Short-term and long-term disability insurance
Employee assistance programs (EAP)
Health Savings Accounts
Flexible Spending Accounts
Professional development opportunities
Scholarship and Tuition reimbursement
Wellness programs
Volunteer opportunities
Productivity, retention, and referral bonuses