Primary Care Team Coord/RN

Northern Light Sebasticook Valley Hospital

Department: RHC - Pittsfield

Position is located: Pittsfield

Work Type: Full Time

Hours Per Week: 32.00

Work Schedule: 8:00 am to 4:30 pm

Summary :

The position's purpose is to assist and perform direct/telephonic patient care as required for triage of calls, provider directives, protocols, and refills for prescriptions, as well as oversee the clinical aspects and coordination of the medical assistants.

Responsibilities :

• Provide clinical leadership to our primary care teams to reach the goal of meeting patients' needs.
• Demonstrate the ability to problem solve using clinical and critical thinking
• Demonstrate ability to collaborate with providers, practice health team members and other health care personnel both inside and outside the practice, for the purpose of quality care of patient(s).
• Assessment and triage of patient needs and collaborating with a multidisciplinary team.
• Perform patient related duties in a confidential and private manner.
• Return telephone calls to patients, preventing interruption of provider's scheduled patient flow.
• Provide appropriate and effective patient education as indicated.
• Assist patients/families to understand and comply w/their established plan of care.
• Conduct assessment of patients/families' needs for any barriers to meeting the necessary care (education, ability to manage, additional services, etc.) and initiating resource referrals as necessary.
• Manage assigned case load, assessing utilization of resources and services, identifying patients that require additional management to promote quality care and cost containment.
• Prepare and order prescription refills according to protocol, as well as overseeing prior authorizations for prescriptions/medical supplies.
• Prepare (and order, if by protocol), diagnostic screening exams.
• Works in conjunction with Lead MA to ensure clinical training and competency testing is met.
• Supervise the MA patient flow, working in conjunction with the Director.
• Assist in maintaining customer service survey scores to the practice's goal.
• Work with Administration on all quality measures (Meaningful Use, PCMH, etc.).
• Work with Administration to maintain a viable Patient and Family Advisory Group, as well as assist in instituting changes suggested by this group
• Encourage and promote daily huddles among staff
• Ensure proper documentation is entered into the EMR for each patient encounter.
• Maintain a safe environment which includes knowing and understanding hospital and departmental policies and procedures.
• Report and directly address identified environmental hazards when appropriate.
• Report and directly address violations of patient safety policy and/or protocol when involved or observed.
• Other duties as requested by Director.
• Comply with HIPPA.
• Exceed customer expectations and needs or transition customer to someone who can, being respectful of patient's time.
• Conduct oneself as a professional and treat others with respect.
• Adhere to all applicable policies.
• Take pride and ownership in duties and work area.
• Manage patient care needs across the continuum.
• Provide appropriate reports as needed in a timely manner.
• Help create and support department goals/strategic plan, remaining positive and receptive to change.
• Manage assigned panels, assessing utilization of resources and services, identifying patients that require additional management to promote quality care and cost containment.
• Review and initiate correction for any patient (s) that have laboratory, imaging and diagnostic testing that is not meeting standard thresholds.
• Track patients that do not keep their appointment, with the goal of reducing patients that do not show for the appointment.
• Provide appropriate reports as needed in a timely manner.
• Provides report to BTE as necessary.
• Provides report to Maine Quality Counts for the PCMH as necessary.
• Attend Organization meetings.
• Work with health care team on all quality measures (Meaningful Use, PCMH, etc.)

Other Information :

• BLS Required.

Competencies and Skills

• Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
• Acts Strategically: Creates effective plans that anticipate future consequences and opportunities and is able to connect the day to day operations to longer-term objectives, shifts in the industry, and system goals.
• Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
• Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
• Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
• Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.
• Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
• Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
• Fosters Innovation: Employs and encourages the use of meaningful creativity in solving challenges. Proactively identifies opportunities and uses new approaches to enhance processes, systems and services. When appropriate, suggests or initiates new strategies, products, services, and markets.
• Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
• Provides Patient-Centered Care: Demonstrates understanding of patient care quality and service as organizational priority. Proactively supports change to improve patient experience and results. Exhibits the ability and willingness to find out what the patient wants and needs and to act accordingly, taking the organizational and outside resources into account. Cooperates, collaborates, communicates, and integrates care within and between teams to ensure that care is continuous and reliable.
• Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.

Credentials

• Required Registered Nurse

Education

• Required Associate's Degree

Working Conditions

• Potential exposure to diseases or infections.
• Lifting, moving and loading 30 to 50 pounds.
• Prolonged periods of standing.
• Prolonged periods of walking.