About The Position

This role supports care coordination activities within ambulatory services, specifically for the medical group. Performs all duties as assigned.

Requirements

  • 3 years’ experience on current unit or in Specialty area
  • Strong analytical and data management skills.
  • comfortable seeking direction and assistance from appropriate resources.
  • Ability to communicate effectively verbally and in writing.
  • Proficient ability to use a computer and electronic medical record.
  • Comply with all HIPAA regulations - maintain patient, team member and employer confidentiality.
  • Customer Service Oriented, friendly, cheerful, helpful and cognizant of patient needs.
  • Ability to work independently and exercise clinical judgment in interactions with providers, payers, patients and their families.
  • Strong organizational and time management skills, as evidenced by a capacity to prioritize multiple tasks and role components.
  • Registered Nurse
  • CPR
  • BSN or equivalent years' experience

Nice To Haves

  • Exp with utilization review processes
  • Case Management
  • Master's in nursing or related field
  • Familiar with scope of practice and licensure regulations

Responsibilities

  • Collaborate in overseeing the practice's care coordination initiatives.
  • Develops a comprehensive, collaborative care plan, based on provider treatment plan and patient/family goals for recently discharged patients and promote adherence to physician/provider recommendations and instructions.
  • Provide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available.
  • Identifies and implement cost effective problem solving, process improvement, risk assessment and the reduction of waste.
  • Completed assigned goals.
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