Northern Light Health
Department: Care Coordination
Position is located: Husson Avenue Practices
Work Type: Full Time
Hours Per Week: 40.00
Work Schedule: 8:00 AM to 4:30 PM
Summary:
Oversee clinical care to patients with complex care needs, chronic disease and through transitions of care. Serves in an expanded nursing role to collaborate with the Medical Team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. Integrates evidence based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare.
Responsibilities:
- Provide safe transition of care across the continuum of care.
- Provide patient education and promote patient independence and self-management.
- Implement monitoring systems for high-risk member to prevent and/or intervene early during acute exacerbations.
- Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
- Provides regular progress updates to PCP and other members of the care team.
- Collaborates with the Inpatient Care Management and Continuing Care Coordinators to ensure smooth process in place when movement between settings occurs.
- Monitor patient progress and promote early intervention in acute care situations.
- Demonstrate leadership qualities in the areas of time management, problem solving, decision making, priority setting, delegation, organization, written/verbal communication and listening skills.
- Demonstrate autonomy being accountable for their practice.
- Other Duties.
Other Information:
- Three to five years of recent (within the last 3 years) acute care experience or relevant experience required.
- Knowledge of the basic principles of care management and care coordination required.
Competencies and Skills:
- Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives.
- Acts Strategically: Creates effective plans that anticipate future consequences and opportunities.
- Applies Business Acumen: Demonstrates knowledge of current and future trends that impact organizational success.
- Basic Life Support.
- Behaves with Integrity and Builds Trust: Acts consistently in line with core values.
- Electronic medical record software.
- Cultivates Respect: Treats others fairly and values differences.
- Demonstrates Adaptability: Learns quickly when facing new problems.
- Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness.
- Develops Self and Others: Takes responsibility for engaging in professional self-development activities.
- Effectively Communicates: Listens, speaks and writes appropriately.
- Exercises Sound Judgment & Decision Making: Understands and processes complex information.
- Fosters Accountability: Creates a work environment where people hold themselves accountable.
- Fosters Innovation: Employs meaningful creativity in solving challenges.
- Influences and Inspires: Builds enthusiasm and commitment among others.
- Ability to understand the language used to describe the human body.
- Word processing, spreadsheets, data entry, database experience and other computer-related skills.
- Email application management skills.
- MS Teams proficiency.
- Practices Compassion: Exhibits genuine care for people.
- Promotes Health and Safety: Advocates and models healthy behaviors.
- Provides Patient-Centered Care: Demonstrates understanding of patient care quality as a priority.
- Resolves Conflict: Acts to find alternatives when team members disagree.
- Seeks Process Improvement & Applies System Thinking: Understands interconnections between organizational elements.
- Serves Others: Strives to understand and meet the expectations of customers.
- Utilizes Resources Effectively: Understands how to maximize available resources.
Credentials:
- Required: Registered Nurse.
Education:
- Required: Associate's Degree; Bachelor’s degree in nursing preferred.
Working Conditions:
- Prolonged periods of sitting.
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