Clinical Care Coordinator

3 days ago

Springfield, Illinois, United States Springfield Clinic Full time
Job Summary

The RN Navigator - Oncology will collaborate with at-risk population patients and their primary care providers to provide care that ensures the delivery of quality, efficient, and cost-effective healthcare services.

Key Responsibilities
  • Assess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of optimizing the at-risk population patient's health status.
  • Identify the at-risk population patients within the practice site and risk stratify all patients to prioritize needs and direct interventions.
  • Collaborate with primary care providers to enhance evidence-based clinical guideline adherence and promote best practice by initiating/adjusting therapies as directed by the practitioner and providing appropriate follow-up and monitoring as needed.
  • Design an individualized care plan with the client and foster a team approach to working collaboratively with the patient, family, primary care provider, and other members of the healthcare team to ensure coordination of services.
  • Continuously evaluate laboratory results, diagnostic tests, utilization patterns, and other metrics to monitor quality and efficiency results for the assigned population.
  • Coordinate appropriate laboratory and diagnostic testing.
  • Manage utilization and practice metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes for the at-risk population.
  • Implement clinical interventions based on risk stratification and evidence-based clinical guidelines.
  • Develop and implement systems of care that facilitate close monitoring and promote early intervention in acute care situations for patients in this at-risk population.
  • Review the current literature regarding effective engagement and communication strategies, case management strategies, and behavior change strategies and incorporate into clinical practice.
  • Coordinate referrals and other community resources.
  • Work with the quality team to design, implement, evaluate, and improve the Healthy Medical Home care delivery model.
  • Collect required data and utilize data to adjust the treatment plan when indicated.
  • Maintain required documentation for all case management activities.
  • Adhere to HIPAA guidelines.
  • Assist other team members to ensure even distribution of workload and shares in assigned tasks.
  • Incorporate excellent written, verbal, and listening communication skills, positive relationship building skills, and critical analysis skills into case management practice.
Requirements
  • BSN required. Master's degree preferred.
  • Two years of clinical experience required, preferably in oncology.
  • Two years of case management/home health experience preferred.
  • RN license in the State of IL required.
  • Must obtain the Oncology Nursing Certification through the Oncology Nursing Society within three years of hire.
  • CPR certification per American Heart Association guidelines required within 30 days of hire.
Knowledge, Skills, and Abilities
  • Highly motivated and self-directed individual that also participates well in the overall program team environment.
  • Excellent oral and written communication skills.
  • Demonstrated experience with program development/program management and workflow assessment including data collection and presentation.

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