What are the responsibilities and job description for the Nurse Care Coordinator position at New Horizon Health Center?
Job Summary
This position is responsible for managing high risk, chronic illness patients to promote effective education, self-management support and timely healthcare delivery to achieve optimal quality and financial outcomes. Responsibilities include coordinating patient care to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcome. Acts as an advocate for the individual’s healthcare needs, and coordinates care to minimize the fragmentation of health care delivery systems. This position is committed to the constant pursuit of excellence in improving the health status of the community.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES: Collaborates with providers and practice staff in identifying appropriate patients for care management, utilizing established Care Management criteria. Performs initial and periodic holistic assessments for care-managed population. This includes physical and psychological assessments as appropriate. The assessment includes a systematic and pertinent collection of data about the health status of the patient. Prioritize patients according to intensity, need and required follow up. Formulates and implements a care management plan that addresses the patients identified needs by assessing the patient/family needs, issues, resources and care goals; determining the choices available to individual patients; educating the patient/family on the choices available. Establishes a care management plan that is mutually agreed upon by the health care team and the patient/family. Plans will contain specific mutual self-management goals, objectives, and interventions with the patients are action-oriented. Evaluates the effectiveness of the plan in meeting established care goals; revises the plan as needed to reflect changing needs, issues and goals. If certified in Advanced Practice with prescriptive authority, may make medication adjustments as needed in collaboration with Primary Care Provider. Monitors and evaluates the progress of the patient. Collaborates with the healthcare team to revise the care management plan when changes occur. Initiates care conferences to discuss multidisciplinary team responsibilities, patient progress, new problems, etc. Identifies and effectively utilizes community resources to meet the needs of patients/families.
Requirements
Experience and Skill Requirements:
Minimum of 2-3 year of professional level medical experience; experience in care coordination preferred.
Experience working with an electronic medical records required.
Ability to work collaboratively with people of diverse cultures and lifestyles.
Ability to communicate effectively with providers and medical staff.
Excellent organizational skills and ability to handle multiple priorities while remaining calm and professional.
Ability to be self-motivating and work independently.
Computer skills proficient to expert Excellent written and oral communication skills.
Problem solving skills.
Education Requirements:
Required current and valid LVN in good standing.
Required current BLS.
Proficiency in medication indications and side effects.
Understanding of medical tests and requirements for test as to provide the patients with appropriate information.
This position requires a dedicated professional who is passionate about improving patient outcomes through effective coordination of care.
Job Type: Full-time
Pay: $19.67 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- 403(b)
- License reimbursement
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Ability to Commute:
- Brownsville, TX 78521 (Required)
Ability to Relocate:
- Brownsville, TX 78521: Relocate before starting work (Required)
Work Location: In person
Salary : $20 - $23