Clinical Care Facilitator

2 weeks ago

Akron, Ohio, United States Cleveland Clinic Full time


Welcome to Cleveland Clinic Akron General Hospital, a place where we have proudly delivered exceptional healthcare to our community for over a century.

Cleveland Clinic is esteemed as one of the leading hospitals in the country. At Akron General, we prioritize patient-centered care and comfort through our collaborative team of healthcare professionals. Our commitment is to serve the community, treating our patients with the utmost care and respect, as if they were family. As a Patient Care Coordinator, you will engage collaboratively with a multidisciplinary team to support high-risk patients. Your role will involve providing care and managing diseases for patients with chronic conditions or those requiring surgical care.

Your key responsibilities will include:
- Utilizing advanced technological tools to oversee patient populations.
- Conducting thorough assessments and ongoing evaluations of patients' progress towards their health goals, updating care plans as necessary.
- Educating patients and their families on managing specific health conditions, including preventive measures and health maintenance tasks.
- Performing comprehensive assessments that encompass medical, behavioral, social, and end-of-life needs for each patient.

The ideal candidate will possess:
- Strong self-motivation and a positive attitude.
- Excellent communication skills.
- The ability to thrive in a close-knit, team-oriented environment.
- Current registration as a Resident Nurse and Basic Life Support certification.

At Cleveland Clinic, we understand the importance of our caregivers.

We treat our staff as family and continuously seek ways to support you.


Here, you will discover:

Resources for professional development, a rewarding career path, and comprehensive benefits that prioritize your health, well-being, and future.

Joining Cleveland Clinic means becoming part of a supportive caregiver community united by shared values and a commitment to providing exceptional care.


Job Responsibilities:
- Identify patients in the specialty care practice who require ongoing care coordination for their specific conditions.

- Define the nature and duration of involvement needed from the specialty care team and the primary care team.

- Employ assessment skills and risk assessment tools to identify patients with current or potential care needs requiring coordination.

- Conduct targeted outreach to a defined group of high-risk patients (those with chronic illnesses, limited social support, frequent readmissions, etc.) to ensure timely and effective care delivery.

- Utilize technological resources (registries, patient lists, care team tabs, etc.) to manage patient populations.

- Perform comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, social, and end-of-life needs, sharing this information with the healthcare team.

- Collaborate with the interdisciplinary team to establish goals and interventions aimed at maximizing patient outcomes.
- Monitor patient adherence to the care plan.
- Conduct reassessments regarding patient progress towards goals and adjust care plans as needed.
- Ensure that care gaps are addressed for specialty diseases and chronic conditions.
- Act as the primary contact for patients regarding their conditions and facilitate access to necessary services.
- Coordinate the efforts of the patient care team.

- Serve as a liaison between patients, families, and healthcare providers, advocating for patients and addressing their concerns.

- Assist in managing transitions of care across different settings, ensuring effective communication and planning. Identify barriers to care and facilitate solutions.

- Collaborate with other care coordination teams, including primary care, transitional care, social work, rehabilitation, and pharmacy.

- Define and ensure adherence to disease-specific care pathways for specialty or chronic conditions.

- Work with patients and families to assess their knowledge, health literacy, and readiness to change, utilizing teach-back methods to evaluate understanding.

- Guide patients and families in self-management support, including setting both short- and long-term health goals.

- Provide education on managing specialty or surgical conditions, including preoperative, perioperative, postoperative, and recovery phases, along with preventive and health maintenance tasks.

- Connect patients with other care providers and community resources to enhance their care experience.
- Collaborate with practices on quality improvement initiatives.
- Perform other duties as assigned.

- Adhere to hospital and departmental policies and procedures, with particular attention to attendance, confidentiality, dress code, and completion of mandatory training to maintain competencies.


Education:
- Graduate from an accredited nursing program.

Preferred Qualifications:
- Bachelor of Science in Nursing (BSN).
- Current state licensure as a Registered Nurse (RN).
- Specialty certification is preferred.
- Basic Life Support (BLS) certification through the American Heart Association (AHA).

All registered nurses in oncology settings must obtain a cancer-specific certification or demonstrate ongoing qualifying education within the accreditation cycle of the facility.
Complexity of Work:
- Requires critical thinking skills, decisive judgment, and the ability to work independently.
- Must be able to operate effectively in a high-pressure environment and take appropriate actions.

Work Experience:
- Three to five years of nursing experience is required.

Physical Requirements:
- Requires full range of motion, manual dexterity, and eye-hand coordination.
- Requires corrected hearing and vision within normal ranges.
- May involve exposure to communicable diseases or bodily fluids.

- Must be able to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.


Personal Protective Equipment:
- Adhere to Standard Precautions using personal protective equipment as required.

Salaries listed on independent job search websites reflect various market averages and do not represent information obtained directly from Cleveland Clinic.

We value each candidate and encourage open discussions regarding salary and compensation during the application and hiring process.

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