Care Coordinator/RN

3 weeks ago


San Antonio, Texas, United States Center for Health Care Services Full time

Job Summary:

The Care Coordinator/RN is a critical member of the Integrated Care Team at the Center for Health Care Services. This role is responsible for managing services between the Integrated Care team and the community, ensuring that both current diseases, as well as preventative and health promotional needs, are addressed as part of the holistic health approach.

Key Responsibilities:

  • Coordinates services between the Integrated Care team and community services as needed to ensure that both current diseases, as well as preventative and health promotion needs are addressed as part of the holistic, whole-person, culturally-sensitive health approach.
  • Establishes and maintains routine collaborative meetings between Integrated Care and system partners toward achieving benchmark standards and improving patient care.
  • Educates patients about health issues relevant to their care, community health resources, insurance information, financial assistance, pharmaceutical services, etc.
  • Participates in Quality Improvement activities, including data collection, tracking, and analysis.
  • Participates in various workgroup and committee activities to support departmental and organizational efforts to improve quality of services.
  • Supervises the work of staff and interns, as appropriate. Provides feedback and performance evaluations.
  • Provides professional recovery-oriented nursing care to individuals by performing assessments regarding the physical and behavioral health status of the client, completing nursing diagnosis, developing a plan of care, and evaluating consumer's responses to nursing interventions.
  • Maintains pharmaceutical oversight of medication samples for specified units participating in the program through assigned unit level staff, maintaining accurate account of stock medications, controlled substances, and consumer medications.
  • Establishes and maintains routine collaborative meetings between Integrated Care and system partners toward achieving benchmark standards and improving patient care.
  • Educates patients about health issues relevant to their care, community health resources, insurance information, financial assistance, pharmaceutical services, etc.
  • Synthesizes information from treatment records, risk stratification, and other sources to assess program enrollees. Apply evidence-based clinical guidelines for behavioral and physical health issues, in addition, knowledge of care coordination techniques in assessing the needs of recipients and determining interventions to address those gaps.
  • Demonstrates excellent customer service and collaborates with physicians, providers, consumers, staff members, visitors, staff, and the health care community.
  • Collaborates with Health Home Team and treating providers using available data, such as exams/assessments scores, participant evaluations, and service observations in order to identify health and wellness needs and develop and implement care coordination plan to address treatment barriers.
  • Creates informational tools and resources for clients and staff on mental health, physical health, and integrated health services.
  • Maintains a variety of records and completes reports.
  • Develops and coordinates all wellness programming (on-site and off-site), including promotion of activities, tracking attendance, evaluations, and topic. Delivery of wellness education programs.
  • Participates in Quality Assurance and Quality Improvement activities, including data collection, tracking, and analysis.
  • Provides culturally responsive and trauma-informed services.
  • Performs other related duties as required.

Requirements:

  • Current Registered Nurse Certification to practice in the State of Texas.
  • Two (2) years of nursing experience.
  • Current Registered Nurse Certification or LPC, LMSW license.
  • Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business.
  • Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies.
  • Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.

Preferred Qualifications:

  • Bachelor's degree or higher in Nursing from an accredited school of nursing.
  • Previous case management experience preferred.
  • Bilingual (English / Spanish)
  • Experience with or knowledge of wellness-oriented trauma-informed care.
  • Previous lead or supervisory experience preferred.
  • Organization and time management.
  • Performing a variety of duties, often changing from one task to another of a different nature.
  • Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios.

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