Care Coordinator - Temporary

Tahoe Forest Health System; Truckee (CA); On-site; USD 101,000 - 106,000; Full time

Job summary

Taho e Forest Health System in Truckee, CA is seeking a Registered Nurse Care Coordinator. The role focuses on coordinating care for medically complex patients, developing patient-centered plans, and collaborating with the care team to improve outcomes.

The ideal candidate has CA RN licensure, an accredited nursing program, and strong communication, organizational, and education skills. On-site duties, with a full-time schedule and ERM/comms support provided.

Qualifications

• Associate's Degree in Nursing from an NLN/CCNE accredited program or equivalent.
• Current California RN license.
• BLS certification required upon hire or within 3 months.

Responsibilities

• Perform nursing process: assessment, planning, implementation and evaluation.
• Act as patient care coordinator and advocate within the care team.
• Facilitate patient education and self-management support.
• Coordinate home monitoring and medication management per plan.
• Collaborate with internal/external providers and community resources.
• Engage in data collection, outcome reporting, and audits.

Skills

Communication skills

Organization

Team collaboration

Judgment/decision-making

Confidentiality

Community outreach

EMR proficiency

Education

Associate's Degree in Nursing

NLN/CCNE accreditation awareness

Tools

EMR proficiency

Job description

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Locations

Showing 1 location

Truckee, CA, USA

• On-site
• EAP
• Full-Time

Description

Bargaining Unit: EAP

Rate of Pay: $76.88/hour + DOE (Base Pay of $73.22 includes 5% temporary rate)

Summary
The Registered Nurse Care Coordinator is responsible for the overall care coordination of medically complex patients, including medical care, education, internal and external referrals and referrals to community resources. The Care Coordinator works with each patient to develop a patient-centered plan of care specific to their needs and self-management goals. Additionally, the Care Coordinator actively collaborates with the diverse healthcare team and local community partners to improve patient health outcomes.

Essential Duties and Responsibilities

Performs the nursing process through assessment, planning, implementation and evaluation of safe therapeutic care to develop patient-entered plan of care to medically complex patients.

• Actively collaborates with healthcare team as an advocate.
• Assists patients through the healthcare system and community by acting as a patient care coordinator.
• Facilitates health and disease patient education through individual teaching and class teaching as indicated.
• Supports patient self-management of disease and behavior modification interventions.
• Assures home monitoring and patient knowledge that is consistent with treatment plan as indicated.
• Coordinates continuity of patient care with internal and external healthcare providers.
• Attends clinic visits, field visits and home visits as indicated to monitor patient progress and assess needs.
• Manages high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting.
• Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
• Facilitates patient medication management based upon medication reconciliation process.
• Connects to community resources as indicated per Social Drivers of Health assessment.
• Participates on a team for data collection, health outcomes reporting, and clinical audits.
• Demonstrates System Values in performance and behavior.
• Complies with System policies and procedures.
• Other duties may be assigned.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibilities
No supervisory responsibilities.

Minimum Education/Experience
Associate's Degree Degree from college or vocational school from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty.

Required Licenses/Certifications
California Registered Nurse (RN)

• Upon hire
• Within 3 months of hire into job

Basic Life Support (BLS) for Healthcare Providers

• Upon hire

BLS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS) Entry or Prep Curriculum (depending on their previous BLS certification).

Within 3 months of hire into job

Other Experience/Qualifications

Required:

Self-disciplined, energetic, passionate, and innovative

Collaborative team member that follows systems and protocols to achieve a common goal

Highly organized and well-developed oral and written communication skills

Demonstrates sound judgment, decision-making and problem-solving skills

Ability to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations

Confidence to communicate and outreach to other community health care organizations and is aware of community resources

Demonstrated computer skills

Proficiency using Electronic Medical Record (EMR) and 6 months to 1 year relevant experience

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.