RN Complex Care Coordinator

2 months ago

Mukwonago, United States ProHealth Care Full time
We Are Hiring: RN Complex Care Coordinator- 1.0 FTE

Schedule Details: Monday through Friday, 8:00-4:30, no weekends or holidays. Position includes in home visits.

Begin your story with ProHealth Care. ProHealth Care was recognized in 2020 by Forbes as the best-in-state employer for Wisconsin. The award is a testament to the more than 5,000 employees and providers who have spoken up about their love for their jobs and the work that they do. Enjoy our video series featuring our own employees sharing why they choose ProHealth Care and what they enjoy about working here.

At ProHealth Care, we offer a culture that's warm, welcoming, and vibrant. Additionally, we offer a generous benefits plan and resources to help you further your education. After all, it's the way you should be treated.

Culture is built every day, and we want you to be a part of this. If you're like us and are passionate about providing exceptional patient care, we'd like to meet you

Job Summary
• Initiates, monitors and evaluates best practices for complex case management
• Collaborates with physicians, advanced practice providers, and ancillary health care team members to coordinate system and community resources to maximize advocacy for patient and family care in achieving the most effective outcomes
• Advocates for the patient by providing support and resources in order to reach optimal function and health, in an appropriate environment
• Develops a patient-centered plan of care to optimize wellness and quality of life, operating from an in depth understanding of their unique meaning of health, illness and disease
• Maintains a broad perspective of the patient's journey across the Continuum of Care in order to assist with navigation and coordination of care

Responsibilities
• Establishes trusting relationships with patients and families/caregivers
• Assists the patient in the examination, clarification and communication of their values
• Assesses patient activation: the knowledge, skills and confidence they have in managing their own health and health care
• Employs Motivational Interviewing to assist patients in identifying obstacles to self-management and develop patient-centered goals
• Promotes healing by helping the patient and family cope with the fears and concerns that accompany life and health changes
• Fosters a strong bond and facilitates partnership and communication between the patient and the primary care provider
• Creates an environment that supports life-long learning that empowers patients to self-manage
• Provides evidence-based patient education and assists in shared decision-making
• Applies a flexible and creative approach to problem solving
• Provides care coordination and collaboration during patient transitions across the Continuum of Care
• Identifies barriers to disease self-management and self-care, including Social Determinants of Health
• Facilitates patient access to PHC or community resources for disease-specific education, self-management and social support
• Functions independently and possesses the internal discipline/drive to guide care for patients with complex health needs
• Completes all EHR documentation accurately, timely and efficiently for regulatory compliance
• Demonstrates effective use of healthcare and information technology resources
• Attends appropriate educational opportunities and shares knowledge and experiences with others in formal and informal settings. Maximizes personal growth and develops an individual educational plan.
• Demonstrates a commitment to the values of the ProHealth Experience: Respect, Relationships, Communication, Collaboration and Excellence

Certifications or Licenses

Registered Nurse (RN)

Education

Bachelor's Degree in Nursing

Experience

5 years

Additional Requirements

BSN or currently enrolled in BSN completion program preferred, but Associate's Degree in Nursing (ADN) and a Bachelor's degree in another field acceptable.

5 years of hospital-based nursing experience, adult primary care clinic or home care experience required. Basic understanding of computer use, Microsoft Outlook, internet and health information technology (Epic EHR preferred).

Case management, team lead or other nursing leadership experience

American Academy of Ambulatory Care Nursing: Care Coordination and Transition Management certification.

Proficient in Epic EHR, Microsoft Office suite and other health information technology.

What You Will Do:

Why Join ProHealth Care:

We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.

This Position Will Offer You:
  • Engaging and community focused culture
  • Competitive Salaries
  • Opportunity for professional career growth
  • Robust benefits including: Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social and sporting events


ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Do You Fit at ProHealth Care?

Here at ProHealth Care, we strive to be the best we can be, while continually improving the care we deliver. With patient care at the center of all we do, it is ingrained into our culture to attract the best and the brightest to ProHealth Care. We have a promise to our patients and employees: The way you should be treated. We live by this commitment and remain dedicated to creating a warm, safe and welcoming environment.

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