Primary Care Registered Nurse RN Remote Hybrid Position

Southwest Healthcare

7d • Hybrid

About The Position

Southwest Care Center is seeking a full-time RN Care Coordinator to support their Santa Fe clinics. This role is crucial in identifying and supporting high-risk, high-acuity patients through care coordination. The position involves developing interdisciplinary care plans, educating patients and their families, coordinating care with various providers, and monitoring the effectiveness of care plans. The RN Care Coordinator will also facilitate appointments, remove barriers to adherence, and may provide clinical care in compliance with state regulations. Additionally, the role involves documenting in the EMR, collecting and analyzing data for quality improvement, supporting research studies, and participating in staff and other meetings. The candidate must reside in the local market area of Albuquerque or Santa Fe, New Mexico.

Requirements

• Minimum 1 year of RN experience within an ambulatory/primary care environment preferred. LPN or Medical Assisting experience may be considered in lieu of this requirement.
• Completion of an associate degree in nursing required.
• Valid Registered Nurse License in the state of New Mexico or other compact state.

Nice To Haves

• Bachelors of nursing preferred.

Responsibilities

• Serves as a key member of the interdisciplinary care team to identify high risk, high acuity patients that would benefit from care coordination.
• In collaboration with other providers and team members, develops interdisciplinary care plans for identified patients.
• Orients and educates patients (and family/support members as identified) by explaining the care coordination process and initiating their care plan.
• Coordinates care information and requirements with other care providers, resolves issues that could affect progression, and fosters peer support and education to others regarding the care coordination process.
• Continually evaluates adherence to and effectiveness of the care plan toward desired outcomes, modifying as necessary, to ensure the best outcome for the patient. Measures intervention effectiveness.
• Interacts both inside of SCC as well as externally to facilitate appointments, scheduling and completion of tests or other procedures, and to remove or minimize other barriers to adherence to care.
• May provide clinical care in compliance with SCC policy as well as the provisions of the New Mexico Nurse Practice Act.
• In collaboration with treating provider, refers patients to additional providers or resources to support specialized needs.
• Documents appropriately and timely in the EMR.
• Collects and analyzes data to support development and improvement of clinical best practice and SCC Quality programs.
• Supports research studies around care protocols, care planning and interventions.
• Participates in staff meetings and attends other meetings and seminars as requested.
• Performs other related duties as required and assigned.

Benefits

• Competitive rate of pay.
• Generous time off plans including sick and holidays.
• Tuition reimbursement and other professional development programs.
• Full benefits package including medical, dental, vision, 401k, supplemental life and spousal coverages, employer paid disability, and access to the 340B prescription program if a patient at SCC.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree