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At Home Field Nurse Coordinator

2 months ago


Portland, Oregon, United States Providence Health & Service Full time
Job Description

As a key member of our Elder at Home care team, the RN-Care Manager plays a vital role in providing comprehensive care coordination services to our most medically fragile patients and their families/caregivers. This position requires a strong understanding of patient-centered interventions and engagement strategies to promote self-management in the home/community setting.

Responsibilities
  • Provide across-the-continuum care coordination services to patients with complex medical needs
  • Manage transitions of care to ensure seamless patient flow and reduce ED utilization and hospitalization
  • Collaborate with our provider group of eight physicians to provide urgent visits and assessments in the home
  • Develop and implement patient-centered care plans to promote self-management and independence
  • Communicate effectively with patients, families, and caregivers to ensure understanding and engagement in care
Requirements
  • Oregon Registered Nurse License upon hire
  • 2 years Clinical medical-surgical, acute care or long-term care experience
  • 1 year in community-based/ambulatory care and 1 year in care of the frail elderly
Preferred Qualifications
  • Bachelor's Degree in Nursing
  • Home health, hospice, palliative care, managed care, or skilled nursing facility background

Providence is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.