Rn Jobs in Port St Lucie

About The Position

Requirements

• Must be at least 18 years of age.
• RN licensure required; must be able to obtain licensure in all states in which Patient First operates.
• Current CPR, ACLS, and PALS certifications.
• Telephonic triage, coaching, or care coordination experience required.
• Ability to work in a team-oriented environment and strong organization, oral, written, presentation, and interpersonal communication skills.
• Sound judgment and decision-making, problem-solving, and analytical skills.
• Professional-level knowledge of comprehensive clinical assessment in primary care and chronic disease management.
• Knowledge of psychosocial aspects of chronic illness.
• Demonstrated success influencing patients and providers.
• Experience with medically oriented care-plan documentation and ability to develop and implement a plan of care.
• Skills in active listening, critical thinking, social perceptiveness, active learning, and patient engagement and instruction methods.
• Ability to manage multiple tasks and continually reprioritize.
• Ability to delegate and exercise sound judgment while working with employees and providing medical care.
• Ability to work effectively with administrative and professional personnel at all levels.
• Ability to maintain confidentiality in accordance with organizational requirements and HIPAA.
• Proficient computer skills, including Microsoft Word and Excel, presentation preparation, and database management.
• Must be able to hear pages, bells, and the phone system.
• Must be able to sit, stand, and walk for long periods, possibly 4 to 7 hours at a time.
• Ability to travel, including overnight, for meetings, conferences, and other needs.
• Ability to work extended hours, including nights and weekends, as needed.

Nice To Haves

• RN, BSN preferred.
• Minimum of three years’ clinical experience in medical/surgical, emergency room, critical care, or ambulatory care preferred.
• Case Manager certification or experience in case management and primary care, Patient-Centered Medical Home care, or an environment coordinating care across multiple providers preferred.
• Experience in quality improvement, quality and efficiency metrics, and data analytics preferred.
• Bilingual skills are a plus.

Responsibilities

• Serve as a telephonic care management resource to clinical teams and develop relationships with Patient First physicians.
• Work with clinical leadership and the QIC Project Director to define quality measures, goals, protocols, and point-of-care reminders using nationally recognized evidence-based care quality measures.
• Help improve the effectiveness and efficiency of clinical practices and processes.
• Review patient records and internal and external reports to identify possible gaps in care, and work with clinical leadership to develop strategies to address them.
• Identify patients appropriate for care management and maximize their health, wellness, safety, and self-care through quality care management.
• Advise center nurses and other health care team members and handle emergent or urgent calls within the scope of professional practice.
• Manage an assigned panel of chronic care patients telephonically and build relationships with patients as an integral member of the health care team.
• Assess patients’ physical and psychosocial needs, literacy status, and barriers involving patients, families, and caregivers.
• Educate patients and health care team members on preventative care and care coordination.
• Support completion and maintenance of health assessments for primary care patients to meet applicable payor contractual requirements.
• Coordinate change readiness and needs assessments with patients and care teams and develop individualized treatment care plans.
• Monitor and evaluate treatment care plans and modify them as necessary.
• Provide clinical guidance, help patients set SMART self-management goals, teach self-management tasks, report abnormal findings, and promote patient engagement.
• Document self-management measures and mutually agreed care plans, and report progress toward goals.
• Collaborate with patients, families, caregivers, physicians, and other care team members to assess progress toward health care goals.
• Coordinate referrals, hospitalizations, emergency room visits, ancillary testing, medication reconciliation, and other aspects of patient care.
• Communicate with patients about recommendations and follow-up visits; review documentation from other providers, follow up as necessary, and document conversations and recommendations in the electronic medical record as appropriate.
• Follow Patient First protocols when handling urgent and emergent calls.
• Anticipate chronic care patients’ needs and review necessary documentation and pre-visit planning with patients when possible.
• Instruct and encourage patients to use the Patient First patient portal.
• Facilitate communication between health care team members and patients during decision-making.
• Use motivational interviewing to assess barriers to treatment goals and help patients mitigate issues and remove barriers to care.
• Oversee development, procurement, and adoption of patient self-management educational resources for primary clinical teams.
• Collaborate with external case managers when appropriate, develop a list of medical supply and community resources, and maintain relationships with frequently used organizations.
• Work with consulting physicians, hospitals, emergency rooms, and other health care resources to clarify roles and develop effective communication.
• Facilitate, advocate, and intervene on behalf of patients to support implementation of treatment plans and continuity of care.
• Work as a center staff nurse as directed.

Benefits

• Health, dental, and vision insurance for employees and dependents.
• Disability, life, and long-term care insurance.
• Employee Assistance Program.
• Flexible Spending accounts.
• 401(k) Retirement Plan with employer match.
• Paid Annual Leave.
• Volunteer Time Off Pay.
• Bereavement Leave.
• Emergency Leave Bank.
• Overtime pay.
• Holiday pay and double-time compensation for holidays worked.
• Discounted medical treatment at Patient First locations for employees and immediate family.
• Recruitment bonus.
• Sign-on bonus.