RN Care Coordinator

Mosaic Community Health • Madras, OR

57d

About The Position

The RN Care Coordinator functions as the clinic care team RN, and provides support to patients and care plan management utilizing the nursing process. The goal is to provide individualized education, coaching and follow-up to improve patients' self-management skills. Interventions are intended to help patients and patient populations adhere to treatments and maintain their quality of life with chronic diseases and/or complex illnesses. The RN Care Coordinator provides direct patient care and also facilitates the coordination of care between others involved in the care of the patient, including the patient's primary care team, medical specialists, hospitals, and health plans.

Requirements

• Superior nursing process skills.
• Critical thinking and problem solving skills.
• Excellent written, verbal, telephone and interpersonal communication skills.
• Familiarity/experience with client interaction on the telephone.
• Knowledge of community resources.
• Basic typing and computer skills and comfort with Microsoft Windows operating system.

Nice To Haves

• EHR experience - EPIC experience a plus.
• Fluency in Spanish preferred.
• Involvement with quality improvement processes.
• Knowledge of health insurance plans, standard office policies and procedures as well as regulatory requirements including CLIA and OSHA standards.

Responsibilities

• Coordinate the care of complex patients using evidence-based practice
• Transitional care management (coordinate ER and hospital follow up as well as care setting transitions)
• Perform medication reconciliation for moderate/high-risk patients post-discharge from inpatient setting
• Develop and manage care plans in collaboration with the primary care providers and other members of the care team

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: No Education Listed
• Number of Employees: 251-500 employees