RN Care Coordinator Pediatrics and Pediatric Cardiology

Intermountain Health

22h • Onsite

About The Position

The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. This position educates patients and families to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. As an RN Care Coordinator, the role involves performing comprehensive assessments of patient health needs, establishing care plans with the primary care physician and team, providing health education, identifying at-risk patients for proactive intervention, and coordinating care for complex cases. The position also requires maintaining accurate documentation, analyzing patient care trends, using registry data to identify service gaps, and advocating for patient care issues.

Requirements

• Associates Degree in Nursing (ADN / ASN)
• Current RN license in state of practice
• Minimum of two (2) years of clinical experience in an outpatient setting or a minimum of two (2) years of experience coaching individuals with complex and/or chronic conditions

Nice To Haves

• RN with experience preferred
• Bachelors Degree
• Prior experience in care coordination in a community setting or primary care practice
• Program development, operations management, and/or supervisory experience

Responsibilities

• Perform comprehensive assessment of patients health needs, including health status and behaviors, level of function, psychosocial situation, and available support systems and determines potential needs.
• Establish care plans in collaboration with the primary care physician and the patient care team.
• Provide health education.
• Identify patients at risk for proactive intervention.
• Pull and manipulate data to identify risk patients and present information to the care team.
• Refer patients to a variety of resources including, but not limited to: nutrition, social work, rehabilitation, behavioral specialist, diabetes education, Healthy Living Workshop, etc.
• Contact patients who utilize ED or have been hospitalized after discharge to determine the reason for the ED visit or hospitalization and work with patient to develop a plan to avoid those facilities.
• Coordinate care for complex cases or those patients seeing multiple specialists.
• Maintain up-to-date and accurate documentation of patient assessment and plan provided to the patient to ensure the effective integration of information for use by the health care team to ensure on-going and continued quality of care, in accordance with evidence-based practice.
• Analyze patient care trends and actively seek out and collaborate with the care team to improve overall quality and efficiency of care.
• Use registry data to identify problems or gaps in services and initiate intervention.
• Demonstrate critical thinking for problem solving and prioritization.
• Participate and lead patient care conferences.
• Manage patient panel with physician office staff to identify appropriate patients and measure outcomes.
• Collaborate with physicians and office staff.
• Pro-actively advocate for patient care issues to ensure that overall quality and type of care is sensitive to each specific patient/familys needs.
• Collaborate with payers and outside agencies to promote a patient centered delivery concept.
• Participate in committees and activities related to the development of Medical Home, Accountable Care Organization (ACO), and other insurance carriers.

Benefits

• Benefits Eligible
• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged
• PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution
• PEAK program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates
• Caregivers are eligible to participate in PEAK on day 1 of employment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees