Care Coordinator-RN

Position Purpose

This position provides face-to-face, virtual, or telephonic care. Collaborates with their team members both clinical and non-clinical. Coordinates services provided for patients with chronic, or behavioral health/chemical dependency needs across the lifespan to improve the quality of care and satisfaction. Identifies social determinants of health and clinical symptomology needing intervention and works within the framework of the IDT to build a longitudinal plan of care and satisfy goals.

Nature and Scope

This position shall coordinate all components of Care Coordination services to provide for individual patients health care needs throughout the continuum of care. This includes Care Coordination, which involves deliberately organizing patient care activities and sharing information among all the participants concerned with a patients care to achieve safer, and more effective care. This means patients needs and preferences are known ahead of time and communicated at the right time to the right people, and that this information is used to provide safe, appropriate, and effective care to the patient.

The Care Coordinator will follow the Renown policies and procedures. The Care Coordinator will follow the Care Coordination Model of Care and Standard work as defined by CMSA. The scope includes potential for cross-training within the department Care Coordination roles to cover for departmental vacations, illness, and vacancies. Position responsibilities include:

1. Strong interpersonal communication skills both verbal and written.
2. Remains productive and offers help and support to team members.
3. Collaborates with the patient, family, providers, and team members to develop a patient-centered Plan of Care and support patients with self-management goals.
4. Coordinates alternative community resources to include Home Health Care, REMSA, Durable Medical Equipment, Social Determinants, and Community Partners to promote and assist the patient to have a safe environment of their choice and in alignment with the patient.
5. Facilitates, problem solves with patients, families, providers, and other healthcare professionals to effectively resolve patient care issues.
6. Understands how to navigate the Care Coordination process of Assessment, Planning, Goal Setting, Intervention, and Evaluation with the ability to utilize these components to provide for the individual health care needs and promote positive outcomes (quality).
7. Helps with transitions of care and organizes medical information.
8. Knowledge of applicable regulatory requirements and community resources.
9. Knowledge of continuous quality improvement process.
10. Philosophy consistent with the corporate culture of Renown Health.
11. Initiates, updates, and revises: Assessments, Patient Outreach Encounter documentation, and Longitudinal Plan of Care within the Health Planet module in Epic.
12. Ability to document in the MIDAS system any grievances, complaints, or compliments identified. May be responsible for other duties as assigned.

This position may be patient-facing, in-person, e-visits, home visits, virtual, or telephonic.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred

Education: Must have working-level knowledge of the English language, including reading, writing, and speaking English. Appropriate education to obtain and maintain Registered Nursing licensure in the State of Nevada.

Experience: One year experience as an RN preferred. Applicants with Care Management or Home Health experience preferred.

License(s): Valid State of Nevada or California drivers license and ability to pass Renown Healths Department of Motor Vehicle Report criteria (excludes 200373). Ability to obtain and maintain a State of Nevada RN license at time of hire. Required for this position Fingerprints must be able to pass Nevada Division of Public and Behavioral Health (DBPH) background checks upon hire and every 5 years per State of Nevada Revised Statue (NRS 449.123) to remain in this position.

Certification(s): Utilization or Case Management Certification desirable.

Computer / Typing: Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.