RN Care Coordinator (Adult Med)

All About Hamilton Health Center

Hamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) within a 30-mile radius of Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania’s residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.

Benefits offered: In addition to your base pay, you are also eligible to receive:

• Paid time off, Catastrophic (CAT)/Sick time, Birthday holiday, and 7 paid holidays.
• Medical, Dental & Vision,
• Company paid life insurance.
• Retirement Plan
• Employee Assistance Program
  
  
  

What You'll Do:

Care Coordination and Management:

• Promote collaboration among the patient-centered care team to ensure quality care, increase preventive care utilization, and reduce emergency room visits and hospital readmissions.
• Direct a care coordination team supporting providers, including a Patient Navigator, Unit Clerk, and Medline Assistant.
• Co-manage high-risk patients through assessments and care coordination, including home and hospital visits when required.
• Educate patients, families, and caregivers on the Patient-Centered Care Model.
  
  
  

Service Coordination and Advocacy:

• Provide service coordination involving case management, client advocacy, and goal-oriented action plans for patients.
• Maintain interactions with patients/families to ensure adherence to treatment plans and foster self-management and shared decision-making.
• Act as a liaison for patients regarding medical and dental benefits.
  
  
  

Monitoring and Reporting:

• Monitor care delivery by documenting progress, identifying barriers to care, and maintaining communication within the Patient-Centered team.
• Ensure compliance with HIPAA regulations and protect confidential information.
• Collect and utilize data for improving service activities, preparing monthly reports.
• Miscellaneous Responsibilities:
• Perform additional job-related duties as assigned.
  
  
  

Requirements:

• Healthcare Knowledge : At least two years’ experience working with patients and families in a Community setting, Public Health, Outreach, Social Work or related field with progressively more responsible leadership experience required. Experience in Pediatrics required.
• Supervisory Experience : Prior experience with care coordination/care management in a clinical setting
• Tech-Savvy: Proficiency in basic data entry computer skills.
• Strong Interpersonal Skills: Ability to communicate courteously and effectively with individuals from diverse backgrounds.
• Team Player: An industrious and cooperative nature to foster harmonious working relationships with clinic management, physicians, clinicians, and the public.
• High School Diploma:
• Must be a graduate of an accredited registered nursing program
• Completed state board with a current license to practice as a Registered Nurse in the Commonwealth of Pennsylvania.
  
  
  

Preferred Qualifications:

• Knowledge of The Joint Commission regulations
• Bi-lingual in Spanish, Nepali, French
  
  
  

EOE