RN Care Navigator
4 days ago
Mosaic Community Health is seeking a skilled RN Care Coordinator to join our team. As a key member of our care team, you will play a vital role in providing individualized education, coaching, and follow-up to improve patients' self-management skills.
Responsibilities- Coordinate the care of complex patients using evidence-based practice
- Transitional care management (coordinate ER and hospital follow-up as well as care setting transitions)
- Perform medication reconciliation for moderate/high-risk patients post-discharge from inpatient setting
- Develop and manage care plans in collaboration with the primary care providers and other members of the care team
- Superior nursing process skills
- Critical thinking and problem-solving skills
- Excellent written, verbal, telephone, and interpersonal communication skills
- Familiarity/experience with client interaction on the telephone
- Knowledge of community resources
- Basic typing and computer skills and comfort with Microsoft Windows operating system
- EHR experience - EPIC experience a plus
- Fluency in Spanish preferred
- Involvement with quality improvement processes
- Knowledge of health insurance plans, standard office policies and procedures as well as regulatory requirements including CLIA and OSHA standards
Mosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way.
What We Offer- A dynamic team-based environment
- A lifestyle of serving others
- A lifestyle of being an integral part of your community
- A lifestyle that offers work/life balance
- A lifestyle that improves lives, including yours
- Education: Preferred Bachelors or better in Nursing
- Licenses & Certifications: Required CPR, Driver's License, Registered Nurse
- Experience: Required 2 years: Minimum two years of RN clinical experience in acute or ambulatory care required. Care coordination experience in an ambulatory setting preferred. Experience in nurse-led patient visits preferred (i.e. diabetes and chronic disease education, anticoagulation management)
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