Northern Light Health
Department: Care Coordination
Position is located: Inland Hospital
Work Type: Full Time
Hours Per Week: 40.00
Work Schedule: 8:00 AM to 4:30 PM
**This is a hybrid position that will support SVH and/or Inland area Primary care practices.**
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 members to prevent and/or intervene early during acute exacerbations. Work with the primary care physician to ensure appropriate standing orders for acute exacerbation management (such as diuretic titration protocol).
- Continuously evaluate laboratory results, diagnostic tests, utilization patterns, and other metrics to monitor quality and efficiency results for assigned population.
- Provide regular progress updates to PCP and other members of the care team.
- Collaborate with the Inpatient Care Management and Continuing Care Coordinators to ensure a smooth process when movement between settings occurs.
- Monitor patient progress and promote early intervention in acute care situations.
- Demonstrate leadership qualities in time management, problem-solving, decision making, priority setting, delegation, organization, written/verbal communication, and listening skills.
- Demonstrate autonomy and accountability for their practice.
- Other Duties as assigned.
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 engages 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 certification required.
- Behaves with Integrity and Builds Trust: Acts consistently in line with core values and commitments.
- Electronic medical record software proficiency required.
- Cultivates Respect: Treats others fairly and embraces diversity.
- Demonstrates Adaptability: Learns quickly and manages change effectively.
- Demonstrates Emotional Intelligence: Exhibits self-awareness and relationship management.
- Develops Self and Others: Engages in professional self-development activities.
- Effectively Communicates: Uses clear language and adjusts communication to the audience.
- Exercises Sound Judgment & Decision Making: Processes complex information for accountable conclusions.
- Fosters Accountability: Creates an environment where accountability is a priority.
- Fosters Innovation: Encourages creativity in solving challenges.
- Influences and Inspires: Builds enthusiasm and commitment among others.
- Ability to understand medical terminology and human anatomy.
- Proficient in word processing, spreadsheets, and other computer-related skills.
- Email application proficiency required.
- MS Teams experience preferred.
- Practices Compassion: Shows genuine care for people.
- Promotes Health and Safety: Advocates for a healthy and safe environment.
- Provides Patient-Centered Care: Supports change to improve patient experience.
- Resolves Conflict: Addresses issues directly and appropriately.
- Seeks Process Improvement & Applies System Thinking: Understands problems and processes effectively.
- Serves Others: Strives to exceed the expectations of customers.
- Utilizes Resources Effectively: Makes the most out of 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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