Bilingual Patient Care Coordinator

3 weeks ago


Cochiti Pueblo, United States University of New Mexico Full time

Position Summary: The Bilingual Patient Care Coordinator is responsible for coordinating patient care for the designated patient population by conducting initial and ongoing assessments, developing comprehensive patient-centered care plans, coordinating patient care with physicians and other healthcare professionals, and ensuring quality patient outcomes and efficient utilization of resources. This position also serves as a contact person for patients, families, healthcare team members, and community resources as necessary.

Detailed responsibilities:

  • Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
  • Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
  • Assess the patient's clinical, psychosocial status and current treatment plans
  • Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
  • Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
  • Maintain computer-based tracking system and compile required reports and records
  • Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
  • Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
  • Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
  • Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other healthcare team members
  • Coordinate and evaluate the use of resources and services in a quality-conscious, cost-effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
  • Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review
  • Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
  • Follow patient safety-related policies, procedures and protocols
  • Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may not seem right
  • Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
  • Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

Qualifications:

  • Program Graduate
  • Bachelor's degree in nursing (non-essential)
  • Nationally Accredited Nursing Graduate
  • 1 year directly related experience
  • Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
  • Valid RN license
  • CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

Physical Conditions: Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.

Working conditions: Minor Hazard - physical risks, dirt, dust, fumes, noise


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