Care Coordinator RN

4 days ago

Fort Dodge, Iowa, United States UnityPoint Health Full time
Job Summary

UnityPoint Health is seeking a skilled Care Coordinator RN to join our team. As a key member of our interdisciplinary team, you will contribute important knowledge regarding coordinating team-based care for patients with health concerns.

Responsibilities
  • Coordinate and facilitate patient-centered interdisciplinary care and communication, including home health and referring physicians' interventions leading to the best outcome.
  • Provide regular and consistent follow-up during transitions of care with patient, coordinators, and other healthcare professionals in other care settings.
  • Demonstrate competence in the skills necessary to carry out assigned duties.
  • Utilize patient registry tools and predictive analytic tools to guide an action plan for designated patient populations.
  • Identify high-risk patients and intervene with the guidance of the provider to improve outcomes.
  • Demonstrate clinical leadership as a role model for other staff and provide direction that ensures top of licensure duties for all team members.
  • Utilize critical thinking in making independent judgments related to patient care. Maintain responsibility and accountability for the knowledge of conditions of assigned patient populations.
  • Engage in process improvement work and quality initiatives to ensure efficient, high-quality multidisciplinary care is provided.
Education and Disease Management
  • Coach and educate designated patient population and family regarding chronic disease self-management and preventative health maintenance using predefined protocols and evidence-based medicine.
  • Work with patients and families to develop and work towards self-management goals through RN-only connections.
  • Empower patients and families through education and a trusting relationship to utilize healthcare resources appropriately minimizing unnecessary utilization.
  • Provide consolidated information regarding internal and external resources and services including home health and other community support services to patients/families as well as the healthcare team.
  • Support provider in meeting chronic and preventive health care needs by guiding patients in collaborative self-management.
Qualifications
  • Minimum Requirements
    • Identify items that are minimally required to perform the essential functions of this position.
  • Preferred or Specialized
    • Not required to perform the essential functions of the position.
  • Education:
    • Graduate of an accredited program for Registered Nurses
    • Meets educational/competency requirements per policy
    • Bachelor of Science in Nursing (BSN)
  • Experience:
    • Previous clinical experience in a medical office
    • Previous process improvement experience
    • Previous experience in Care Coordination
  • License(s)/Certification(s):
    • Current license to practice nursing in the state where care is provided
    • BLS
    • Achieve and maintain certification in Integrated Care Management within 6 months of hire. The organization will fund one class of Integrated Care Management which includes examination. Additional course work and/or exam fees will be the responsibility of the employee
    • Valid driver's license when driving any vehicle for work-related reasons
    • Person Centered Care (PCC) course completion within first 12 months of hire and annual completion of competency validation activities
  • Knowledge/Skills/Abilities:
    • Demonstrate flexibility and adaptability, priority setting, problem solving, conflict resolution, decision-making, work delegation and organization.
    • Must be highly motivated and self-directed.
    • Must be able to communicate effectively with people of diverse professional, educational and lifestyle backgrounds.
    • Ability to understand and apply protocols, policies and procedures.
    • Ability to work independently and assume responsibility for timely completion of assigned functions.
    • Strong computer skills, interpersonal skills, clinical proficiency and ability to work as part of a multi-disciplinary team.

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