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Care Coordinator
2 months ago
Springfield Medical Care Systems, Inc. is seeking a highly skilled Clinical Care Coordinator to join our team at our Springfield Health Center. As a key member of our care coordination team, you will play a pivotal role in engaging individuals seeking to prevent and manage chronic conditions, identifying their priorities for their care, developing a care plan, and coordinating its implementation in partnership with the patient, their care team, and community partners.
Key Responsibilities:
- Promote and Achieve Our Mission: Align with our organization's mission and vision to connect with and care for our community, ensuring everyone enjoys health and wellness.
- Assess Patient Needs: Evaluate patients' clinical, social, functional, and continuing care needs to identify their priorities and desired outcomes for their treatment.
- Develop Care Plans: Collaborate with patients, their care team, and related partners to develop care plans, including immediate, short-term, and long-term goals reflecting patients' priorities and timeframes to achieve desired outcomes.
- Transition of Care: Assist in the 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.
- Effective Communication: Communicate with patients and families in an effective, patient-centered manner; coordinate with other team members to provide exceptional patient service.
- Positive Working Relationships: Maintain positive working relationships and demonstrate exceptional customer service skills, working cooperatively, addressing conflict, and communicating effectively with all providers, team members, patients, and their families.
- Patient Access: Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support.
- Chronic Care Management: Provide Chronic Care Management services as appropriate to eligible patients.
- Effective Tracking: Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.
- Patient Self-Management: Support patient self-management of disease and behavior modification interventions.
- Proactive Outreach: Proactively outreach to selected patients, perform home visits as necessary for assessment and engagement.
- Quality Improvement: Participate in quality improvement activities, collecting and analyzing data.
Requirements:
- Experience with Care Planning: Proven experience with care planning and coordination.
- Nursing Experience: Two (2) years of nursing experience, preferably in case management.
- Excellent Communication Skills: Excellent communication and interpersonal skills.
- Computer Skills: Proficiency with Microsoft Office and computer skills.
- Licensure: Current LPN License, with RN License preferred.
What We Offer:
As a Clinical Care Coordinator at Springfield Medical Care Systems, Inc., you will have the opportunity to make a meaningful difference in the lives of our patients and contribute to our organization's mission to provide high-quality, patient-centered care. If you are a motivated and compassionate individual with a passion for care coordination, we encourage you to apply for this exciting opportunity.
