Registered Nurse Coach

Novant HealthCharlotte, NC
123d

About The Position

The RN Coach will function in a telephonic virtual care center and is part of the Care Connections Team which collaborates with physicians, mid-level providers, staff, and other health care professionals to provide coordination of care across the health care continuum. The RN Coach will also focus on enhancing the patient experience by recommending primary and specialty care providers as well as community resources. This role serves as an integral member of the health care team who works to ensure safety, best practice and high quality standards of care are maintained across the continuum. Responsibilities include, but are not limited to assisting, developing and coordinating a wide range of self-management support, chronic-care management as well as acute triage. Position responsibilities are met through providing information pertaining to acute healthcare needs while promoting health and well-being. The RN Coach also supports holistic interdisciplinary patient centered care as part of the Care Connections team. Care Connections promotes the effective self-management of chronic-care and assists patients with navigating the healthcare system. In addition, this role may include answering a nurse triage line responsible for assessing problems over the phone utilizing appropriate and approved protocols.

Requirements

  • Graduate of an accredited school of nursing, required.
  • Minimum of five years clinical experience in hospital, home health, or community setting with a recent focus on acute and/or chronic-care management, required.
  • Current RN license for all states in NH footprint, required.

Nice To Haves

  • BSN, preferred.
  • Case management experience, preferred.

Responsibilities

  • Aids with defining a disease-specific patient database (registry) in coordination with clinic management and medical director.
  • Assists to create and test processes to identify patients appropriate for chronic-care management services.
  • Works with Population Health to develop and refine systems necessary to manage patient referrals from providers and staff to appropriate self-management education and support.
  • Answers the nurse call line as assigned and helps to navigate and/or coordinate the patient's care.
  • Identification of needed preventive health maintenance, immunizations, and chronic disease interventions.
  • Assists to create and sustain protocols which allow initial and/or follow-up services to be ordered or completed before the patient sees the provider.
  • Works with Novant Health resources to identify opportunities to enhance processes to improve patient flow and enhance patient experiences and medical care across the system.
  • Assists with Population Health programs and defined tools to aid in the identification of risks, symptoms and opportunities to improve.
  • Assists patients to create a plan for Health Behavior Change using the Behavior Change Model.
  • Assists to provide program-defined written health education materials and tools to provide to chronic-care patients.
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