Medical - RN Care Partner

Marana Health•Marana, AZ

4d•Onsite

About The Position

Marana Health is seeking an RN Care Partner to join the Medical team at the Marana Main Health Center, located in the heart of Marana, AZ. The RN Care Partner is responsible for providing coordination of services to patients and their families across the continuum of care. The RN Care Partner assesses, plans, implements, coordinates and evaluates the plan of care in partnership with the patient/family and other members of the healthcare team. Marana Health is a Federally Qualified Community Health Center (FQHC), with 11 sites in Tucson and Pima County. Our mission is to improve our community by providing exceptional, whole-person healthcare.

Requirements

Associate degree in Nursing
Valid Arizona State License as a Registered Nurse
2 years’ nursing experience
Basic Life Support (BLS) Certification
Fingerprint Clearance Card through the Arizona Department of Public Safety (or ability to obtain upon hire)

Nice To Haves

Bachelor’s degree in Nursing
Case Management experience
Bilingual (English/Spanish)
Certified Diabetes Educator (CDE from NCBDE) or Board Certified-Advanced Diabetes Management (BC-ADM from AADE) credential
Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

Responsibilities

Coordinates care of patients to facilitate quality, cost-effective outcomes.
Collaborates with clinicians and interdisciplinary staff (internal and external) to identify and resolve concerns.
Provides counseling and coordinates treatment plans for patients.
Identifies and addresses barriers and assists patients in accessing resources to achieve their personal health goals.
Engages with patients and families to determine and facilitate the level of case management support required.
Conducts patient telephone and in-person triage to assist in determining the appropriate level of care needed.
Administers injectable medications per clinician’s order to medical and behavioral health patients.
Performs wound care per clinician order.
Guides transition of care to achieve individualized patient and family quality outcomes.
Evaluates and monitors the effectiveness of the care plan and initiates necessary changes.
Serves as a patient advocate and liaison between patient, family, and healthcare team.
Documents care plan and interventions.
Ensures patient-centered coordination to facilitate the provision of comprehensive health promotion and chronic condition care.
Provides ongoing, proactive, planned care interventions to support illness management and relapse prevention.
Provides support to the primary caregiver within the family.
Provides developmentally appropriate preventative guidance and referrals.
Cultivates and supports primary care and subspecialty co-management with timely communication, inquiry, follow up, and integration of information into the care plan.
Serves as medical home quality improvement team consultant assisting in measuring quality to identify, assess, refine, and implement practice improvements for patient-centered care.
Provides patient care according to the standing orders from clinicians.
Schedules appointments with patients and family as needed to continually assess care plan and assist with coordination of services within, between, and outside of MH.