RN Nurse Home Visitor (Part-Time)/RN Care Coordinator Ambulatory Care PRN

Denver Health and Hospital Authority•Denver, CO

About The Position

We are recruiting for a motivated RN Nurse Home Visitor (Part-Time)/RN Care Coordinator Ambulatory Care PRN to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department Denver Safe Ctr(Family Crisis) Job Summary RN Home Visitor utilizes nursing skills in a mostly non-clinical manner providing home visitation and case management for families referred by Denver Human Services. Under minimal supervision this position facilitates, coordinates, and directs medical care, resources, and education for families. The RN participates in appropriate team decision making meetings and other interdisciplinary care rounds to review treatment goals, progress, and identified needs. Essential Functions : Uses Nursing Process to Create patient and family centered goals and plans Establish and maintain patient and family centered relationships Collect assessment data relating to patient health needs and concerns. Analyze assessment data to determine patient and family needs. Work with patient and family to identify goals and outcomes. Develop evidence-based interventions and care plans to support goals and outcomes. Implement plan with patient, family, care team. Conduct systematic and timely evaluation of outcomes of nursing care and care plan. Document care according to organizational standards, contractual and regulatory requirements, state and federal laws. Encourage preventative care. Assist and educate patient and caregivers. Support patients and caregivers in developing skills to promote, maintain and restore health. Review and educate patient and caregivers on medications and treatments. Incorporate cultural humility, language appropriateness, health literacy, and preference into patient care, care plans and communication. (40%) Care Management Work within and in support of the health care team to coordinate the delivery of care within the clinic setting, throughout the organization, and across healthcare settings. Delegate appropriate intervention to care team members based on scope, competency, state practice act, standard work and organizational policies. Provide information to the healthcare team, including patient and family regarding resources and benefits to support safe transitions and timely provision of healthcare services. Advocate to secure benefits for patient and identify potential barriers to payer coverage. Serve as point of contact with the patient and among healthcare services and organizations. Coordinate community resources. Provide care management to appropriate patients and according to organizational policies and payer guidelines. (40%) Professional Practice and Collegiality Flexible and accommodating to patient, clinic setting, community, payer, and organizational needs. Attain and maintain knowledge and competency to reflect current evidence-based nursing practice. Proactively assess needs of others: care team members, patients, and families. Contribute to positive, supportive, healthy and inclusive work environment through positive interactions, respectful communication and creative solutions. (20%)

Requirements

Associate's Degree Completion of a nursing education program that satisfied the licensing requirements of the Colorado State Board of Nursing for Registered Nurses.
1-3 years clinical experience in a hospital, acute care, home health/hospice, direct care or case management required.
RN-Registered Nurse - DORA - Department of Regulatory Agencies Required
BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association Required
Knowledge and understanding of case management/coordination of care principles, programs, and processes in either a hospital or outpatient healthcare environment.
Effectively collaborate with and respond to varied personalities in differing emotional conditions, and maintain professional composure at all times.
Strong customer service orientation and aptitude.
Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action.
Ability to communicate verbally and in writing complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
Proficient in Microsoft outlook, Word, and Excel

Nice To Haves

Bilingual in English/Spanish preferred.
Experience with electronic health records and documentation of care coordination services preferred.

Responsibilities

Uses Nursing Process to Create patient and family centered goals and plans
Establish and maintain patient and family centered relationships
Collect assessment data relating to patient health needs and concerns.
Analyze assessment data to determine patient and family needs.
Work with patient and family to identify goals and outcomes.
Develop evidence-based interventions and care plans to support goals and outcomes.
Implement plan with patient, family, care team.
Conduct systematic and timely evaluation of outcomes of nursing care and care plan.
Document care according to organizational standards, contractual and regulatory requirements, state and federal laws.
Encourage preventative care.
Assist and educate patient and caregivers.
Support patients and caregivers in developing skills to promote, maintain and restore health.
Review and educate patient and caregivers on medications and treatments.
Incorporate cultural humility, language appropriateness, health literacy, and preference into patient care, care plans and communication.
Work within and in support of the health care team to coordinate the delivery of care within the clinic setting, throughout the organization, and across healthcare settings.
Delegate appropriate intervention to care team members based on scope, competency, state practice act, standard work and organizational policies.
Provide information to the healthcare team, including patient and family regarding resources and benefits to support safe transitions and timely provision of healthcare services.
Advocate to secure benefits for patient and identify potential barriers to payer coverage.
Serve as point of contact with the patient and among healthcare services and organizations.
Coordinate community resources.
Provide care management to appropriate patients and according to organizational policies and payer guidelines.
Flexible and accommodating to patient, clinic setting, community, payer, and organizational needs.
Attain and maintain knowledge and competency to reflect current evidence-based nursing practice.
Proactively assess needs of others: care team members, patients, and families.
Contribute to positive, supportive, healthy and inclusive work environment through positive interactions, respectful communication and creative solutions.