Job Description
Job Description
Description :
Location : Cherry County Hospital
Compensation : Competitive wage
Comprehensive Benefit Package :
- Health Insurance : Co-pay or HSA plan options : 100% paid for Employee
- Dental : 100% paid for Employee
- Vision : 100% paid for Employee
- 50,000 Group Life Insurance with AD&D
- Long-Term Disability : 100% paid for Employee
- Medical and Dependent Care Flexible Spending Accounts
- Health Savings Account with employer contribution
- Supplemental Insurances : Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity and Accident
- Retirement Plan : 457 plan Pre-Tax and Roth options
Position Summary
The Chronic Care Coordinator is responsible for scheduling, organizing, and managing all aspects of a patient’s healthcare maintenance and treatment, including developing and implementing transition of care plans, ensuring the achievement of desirable patient outcomes, partnering with patients and families, linking with community resources, and conducting patient and family education. Implementation is accomplished through patient assessment, monitoring of the plan of care, reviewing activities, coordinating with the interdisciplinary team, communicating with providers, and by facilitating continuity of care across settings at Cherry County Hospital and Clinic.
Duties and Responsibilities
Responsibilities include but are not limited to the following :
Coordinates and implements clinical care management / transition of care plan through partnership with the care teamAssists with the identification and enrollment of high-risk patients (the chronically ill and those needing disease management)Assesses patient’s physical and mental wellness, needs, preferences, and abilities and uses them to develop tailored care plans in collaboration with provider and patient / familyMonitors adherence to care plans, evaluates effectiveness, monitors patient progress, and facilitates changes if neededInteracts with providers to obtain orders, discuss treatment modalities or changes in the treatment, or any other aspect of care for positive patient outcomesCollects patient clinical findings and diagnostic reports for provider to reviewCommunicates / implements findings and care recommendations to achieve targeted outcomesParticipates in psychosocial management to include patient / family needs while facilitating referrals for evaluation; refers for mandated legal reporting (abuse and neglect)Educates patients about their condition, medication, and give them specific instructionsProvide resources and options for managing patients’ healthListens to patient concerns and provides counseling or intervention as requiredWorks with patient, family, and care team to develop goals and monitors progressCommunicates with patients, family members, and the healthcare team about a patient’s treatment plan to achieve the best outcomesComplies with documentation requirements to include, but not limited to, care plan adherence, referrals, phone conversations, and home visitsAssists patient and families in accessing community resources and scheduling appointmentsParticipate in various incentive programsAssists patients with referrals to secure medical care as requiredParticipates in continuing education programs on a yearly basis, and as neededAttends monthly staff meetings and shares knowledge of chronic care management as appropriateEnsures the confidentiality of patients’ medical, personal, and financial records is maintainedKnowledgeable of and committed to practicing Corporate Compliance policies and proceduresComplies with Cherry County Hospital personnel policiesPerforms other duties as assigned by supervisorSkills and Abilities Required
Excellent verbal and written communication skillsAbility to provide service with compassion and empathyRequires a basic theoretical nursing knowledge with application of knowledge and skillsAbility to make sound judgements and decisions concerning patient careRecognizes the proper channels of communicationKnowledge of physical organization of the hospital, as well as the hospital policies and proceduresUnderstands the legal aspect of nursingAbility to maintain complete confidentiality regarding patient care servicesKeeps abreast of new trends and developments in nursing.Interested in continuing professional growth.Has a preference for working with the public and other staff.Possesses personal qualities, which enable the nurse to maintain good interpersonal relationships and work well with people; examples of these are good judgement, understanding, loyalty, respect for the person as an individual, and empathyMust be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the positionPhysical Demands and Working Conditions
Work may be physically and emotionally demanding, involves lifting and positioning patientsEnvironment requires working in close proximity with others in a clean, favorable areaPhysical demands require sitting for long periods of time, standing and bending as requiredRequires regular working hours with possibility of overtimeDexterity is needed to operate equipment, telephone, intercom system and other tasks as required to meet patient care needsRepetitive use of hands, arms, and eyes could cause strainMust be agile, able to move carefully around patients and equipment with easeWork involves the potential for exposure to hazardous material such as contaminated body fluids. Must possess the knowledge and insight to comply with universal precautions and hospital policies and procedures.Reports to- Rural Health Clinic Director
Direct reports- Clinic Manager
Requirements :
Minimum Job Requirements
Graduate from an accredited school of nursingPossession of a license to practice as a Registered Nurse in the State of NebraskaThree (3) or more years of RN experience required
