Care Coordinator - Temporary

Tahoe Forest Health System; Truckee (CA); On-site; USD 90,000 - 121,000; Full time

Job summary

Tahoe Forest Health System is seeking a Registered Nurse Care Coordinator in Truckee, CA. You will oversee care coordination for medically complex patients, develop patient-centered plans, and collaborate with the care team to improve health outcomes.

Responsibilities include conducting nursing assessments, coordinating referrals, educating patients, and supporting self-management. Must hold CA RN license and BLS; 6 months to 1 year EMR experience preferred.

Qualifications

• CA RN license required.
• Associate's Degree in Nursing with clinical experiences.
• BLS certification required.
• 6 months to 1 year relevant EMR experience.

Responsibilities

• Coordinate care for medically complex patients across care settings.
• Act as patient care coordinator within healthcare system and community.
• Educate patients and families; support self-management and behavior change.
• Collaborate with care team and community partners to improve outcomes.
• Ensure medication reconciliation and patient progression toward goals.

Skills

Care coordination

EMR proficiency

Communication skills

Confidentiality

Team collaboration

Education

Associate's Degree in Nursing

Tools

EMR system

Job description

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.