Northern Light Health
Department: Care Coordination
Position is located: Mercy Fore River
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. Reports to: Regional Manager, Care Coordination for Beacon Health, LLC.
Responsibilities:
- Manage utilization and practice metrics to refine the delivery of care model to maximize clinical, quality and fiscal outcomes for the population.
- Monitor patient progress and promote early intervention in acute care situations.
- Provide safe transition of care across the continuum of care.
- Provide patient education.
- Promote patient independence and self-management.
- Demonstrate autonomy being accountable for their practice.
- Demonstrate the ability to negotiate and influence individual and group decision-making.
- Adapt to a fluid, dynamic and rapidly changing environment.
- Demonstrate leadership qualities in the areas of time management, problem solving, decision making, priority setting, delegation, organization, written/verbal communication and listening skills.
- Work with Beacon Health leadership in the design, implementation and evaluation of the Medical Home care model.
- Implement monitoring systems for high-risk members to prevent and/or intervene early during acute exacerbations.
- 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 and Continuing Care Coordinators to ensure smooth processes when movement between settings occurs.
Other Information:
BLS Certification.
Competencies and Skills:
- 3+ years of relative work experience required.
- Achieves Results: Sets high standards for their own outcomes and engages others towards objectives.
- Behaves with Integrity and Builds Trust: Acts consistently in line with core values and commitments.
- Cultivates Respect: Treats others fairly and values differences.
- Demonstrates Adaptability: Learns quickly and manages change effectively.
- Demonstrates Emotional Intelligence: Exhibits high levels of self-awareness and relationship management.
- Effectively Communicates: Listens, speaks and writes appropriately, using clear language.
- Fosters Accountability: Creates a work environment where people hold themselves and others accountable.
- Influences and Inspires: Builds enthusiasm and commitment among others.
- Word processing, spreadsheets, data entry, database experience and other computer-related skills.
- Practices Compassion: Exhibits genuine care for people and is ready to help.
Credentials:
- Required: Registered Nurse
Education:
- Required: High School Diploma/General Educational Development (GED); Bachelor's degree in Nursing preferred.
Working Conditions:
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