Clinical Care Navigator

5 days ago

Springfield, Vermont, United States Springfield Medical Care Systems, Inc. Full time
Job Overview

Springfield Medical Care Systems, Inc. is seeking a dedicated Clinical Care Coordinator to join our team at the Springfield Health Center.

Estimated Salary Range:

$65,000 - $80,000 per year, based on experience and qualifications.

About the Role

In this pivotal position, you will engage individuals seeking to prevent and manage chronic conditions, identify their priorities for their care, develop a care plan, and coordinate its implementation in partnership with the patient, their care team, and community partners.

  • Promote and work towards achieving our mission and vision of providing exceptional healthcare services to our community.
  • Assess patients' clinical, social, functional, and continuing care needs to identify their priorities and desired outcomes for their treatment.
  • In consultation with the patient, their care team, and related partners, develop a comprehensive care plan including immediate, short-term, and long-term goals reflecting patients' priorities and time frames to achieve desired outcomes.
  • Demonstrate knowledge and understanding of the client's diagnosis, prognosis, care needs, as well as cost and barriers to goal achievement.
  • Assist in transition of care through patient outreach, communication with relevant service providers following discharge from other care settings to ensure a smooth transition to outpatient care, with the goal of decreasing readmissions.
  • Communicate effectively with patients and families; coordinate with other team members to provide exceptional patient service.
  • Maintain positive working relationships and demonstrate exceptional customer service skills. Work cooperatively, address conflict, and communicate effectively with all providers, team members, patients, and their families.
Requirements
  • Experience with care planning.
  • Two (2) years' nursing experience.
  • Excellent communication skills.
  • Proficiency with Microsoft Office, computer skills.
  • Current LPN License.
  • One (1) – Two (2) years' experience in case management (preferred).
  • Current RN License (preferred).

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