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RN Care Coordinator

2 months ago

Midland, United States Quad Full time

Creating a better way. It’s more than just the philosophy we were founded on. It’s our purpose. For our employees, it means more time with patients. Unrushed visits to build meaningful relationships. And most importantly, an opportunity to empower our patients to achieve their full potential – at work and in life. Determined to make a difference? Join our health care revolution and be a part of something better.

We are excited to offer an exceptional opportunity as a Nurse Care Coordinator with the DOW Midland Health Center located in Midland, MI

This is a Full-time position offering Full Time benefits

GENERAL PURPOSE OF JOB

The Nurse Care Coordinator is a critical component in providing patient education, facilitating services necessary that are outside and inside of the Health Center, provides patient follow-up to ensure care was provided and is effective and supports the Providers in the QuadMed Chronic Condition programs including diabetes, asthma, and hypertensive conditions. This individual will track and maintain accurate documentation of the coordination and referral process in the patient’s medical record.

KEY RESPONSIBILITIES

  • Implements the Patient Center Medical Home Model philosophy into the patient experience.

  • Conducts education and referrals utilizing regulatory guidelines within the state.

  • Electronic Medical Record (EMR) Tracking and Documentation.

  • Documents and tracks activity related to referrals in the EMR timely.

  • Runs, monitors and appropriately manages the referral reports.

  • Provides updates to providers and clinical staff as needed.

  • Acts as a program resource for patients and internal partners including scheduling appointments, referring patients to appropriate resources and assisting patients in all aspects of the referral process.

  • Facilitates the sending and receiving of information to service/referral providers and provides follow-up for patient results.

  • Provides case management by being a patient advocate, resource and contact for patients and families in care coordination and referrals.

  • Conducts staff education and coaching to ensure they are aware of all the program resources and updates available to their patients.

  • Phone Triage to include outlining the Chronic Condition Management program to patients and directing them to the appropriate provider.

  • Properly document all phone patient encounters in the EMR.

  • Establishes proactive outreach opportunities to increase patient health and outcomes and assist in future planning of programs.

  • Distributes program marketing and referral information to providers and assists them in selecting best practice options for their patients.

  • Organizes enrollment and tracking of new membership as the program grows through new QuadMed locations and providers.

  • Assists with wellness programming as needed.

  • Provides outreach to patients discharged from area hospitals or surgery centers when made aware of the event to provide follow-up assistance and/or to inquire on patient’s status and assistance needs.

  • Manage role relationship and includes Supervisor in role facilitation and effectiveness.

  • Perform clerical support duties including faxing, scanning and data entry (i.e. lab values.) in partnership with care coordination.

  • Aid in administering and tracking contract performance guarantees with the Legal, Sales, Account Management and Operations departments.

  • Acknowledges and adheres to patient’s rights on confidentiality issues, maintains patient confidentiality at all times and follows HIPAA guidelines and regulations.

  • Performs duties in accordance with the Nursing Code of Ethics and other guiding principles of nursing.

JOB REQUIREMENTS

Education:

  • RN or LPN degree/diploma from an accredited college or university

Experience:

  • Minimum five (5) years outpatient care experience

  • Minimum two (2) years’ experience in case management, or able to demonstrate

  • Experience promoting wellness programming is a plus

 Certificates, Licenses, Registration:

  • Requires a current and valid license in the state of the position or a compact state license.

  • Current CPR (BLS) certification or must be obtained within 60 days of hire

  • PALS a plus

Knowledge, Skills & Abilities:

  • Excellent communication skills; both written and verbal, with proven organizational and facilitation ability.

  • Strong team player with ability to be a self-starter professional who can work independently and proactively toward program improvement.

  • Must be proficient in Microsoft Office including Word, Outlook, and Excel

  • Proven ability to work successfully with diverse populations and demonstrated commitment to promote and enhance diversity and inclusion

Harry Quadracci was determined to do things differently, and to do them better. In 1991, the visionary print manufacturing CEO founded QuadMed out of the belief that there had to be a better way to provide his employees with access to affordable, high-quality health care. And what started as doing the right thing, ended up sparking a health care revolution. Now 30 years later, we partner with employers across the nation to provide value-driven health and wellness services in or near the workplace. With a focus on breaking down cost, access and quality barriers, we empower employees and their families to live healthier, happier lives.

We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.

QuadMed and Quad is proud to be an equal opportunity employer and values diversity. We are committed to creating a place of belonging — a space where employees do not need to sacrifice who they are to exist and grow in our workplace. QuadMed and Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. QuadMed and Quad also prohibits harassment of applicants and employees based on any of these protected categories.

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