RN Care Coordinator - Leukemia

Cleveland Clinic

6d•Hybrid

About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. As a Care Coordinator, you will work collaboratively with multidisciplinary care team staff across the continuum of care for hematology and oncology patients throughout their treatment journey. In this role, you will provide coordination of care and disease management longitudinally for these patients through arranging referrals, consultations, diagnostic testing, treatments and follow-up care while monitoring patient progress throughout the process. You will also focus on providing patient education, assist with community resources, follow up after hospital discharges, address symptom management concerns and respond to patient phone calls and MyChart messages to support continuity of care and positive patient outcomes. A caregiver in this position works Monday through Friday from 8:00am to 5:00pm. 1 day per week will be held remotely at home.

Requirements

Graduate from an accredited school of professional nursing (Diploma, ADN or BSN program)
Current state licensure as a Registered Nurse (RN)
Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
Three to five years of nursing experience

Nice To Haves

Bachelor of Science in Nursing (BSN)
Specialty certification
Oncology background
EPIC experience
Care coordination experience

Responsibilities

Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
Provide care and disease management coordination.
Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.
Conduct comprehensive clinical assessments that include disease/age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.
Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care.
Serve as a liaison and advocate for patients and families.
Assist in managing transitions of care across care settings, ensuring optimal communication and planning.
Identify barriers, facilitate solutions, and connect others to community resources.