Care Coordination Registered Nurse

2 weeks ago

Harrisburg, Pennsylvania, United States Hamilton Health Center Full time
Company Overview: Hamilton Health Center is a Federally Qualified Health Center (FQHC) dedicated to delivering high-quality, patient-focused healthcare and social services. Our mission is to enhance access, treatment, education, and prevention for the residents of Central Pennsylvania, irrespective of their health or economic circumstances.

Our Vision: We envision a community where every individual receives comprehensive and compassionate healthcare, regardless of their financial situation or insurance coverage. This commitment has been at the core of our operations for over five decades.

Key Responsibilities:

Care Coordination and Management:
  • Facilitate collaboration among the patient-centered care team to enhance care quality, promote preventive care, and minimize emergency room visits and hospital readmissions.
  • Lead a care coordination team that includes a Patient Navigator, Unit Clerk, and Medline Assistant.
  • Co-manage high-risk patients through assessments and care coordination, including necessary home and hospital visits.
  • Provide education to patients, families, and caregivers regarding the Patient-Centered Care Model.
Service Coordination and Advocacy:
  • Deliver service coordination that encompasses case management, client advocacy, and goal-oriented action plans for patients.
  • Maintain regular interactions with patients and families to ensure adherence to treatment plans, fostering self-management and shared decision-making.
  • Act as a liaison for patients concerning medical and dental benefits.
Monitoring and Reporting:
  • Oversee care delivery by documenting progress, identifying barriers to care, and maintaining communication within the Patient-Centered team.
  • Ensure compliance with HIPAA regulations to protect confidential information.
  • Collect and analyze data to enhance service activities and prepare monthly reports.
  • Additional Responsibilities: Perform other job-related duties as assigned.
Qualifications:
  • Healthcare Experience: Minimum of two years' experience working with patients and families in a community setting, public health, outreach, social work, or a related field, with progressively responsible leadership experience.
  • Supervisory Skills: Previous experience in care coordination or care management within a clinical environment.
  • Technical Proficiency: Basic data entry and computer skills are essential.
  • Interpersonal Skills: Strong ability to communicate effectively and courteously with individuals from diverse backgrounds.
  • Team Collaboration: A cooperative and industrious nature to foster positive working relationships with clinic management, physicians, clinicians, and the public.
  • Education:
    1. Graduate of an accredited registered nursing program.
    2. Current license to practice as a Registered Nurse in the Commonwealth of Pennsylvania.
Preferred Qualifications:
  • Familiarity with The Joint Commission regulations.
  • Bi-lingual capabilities in Spanish, Nepali, or French.
Equal Opportunity Employer: Hamilton Health Center is an equal opportunity employer committed to fostering an inclusive and diverse work environment where all employees are valued and respected. We do not discriminate based on race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, gender identity, or any other protected status. All employment decisions are based on qualifications, merit, and business needs.

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