Elliot Health System - RN Clinical Care Coordinator - Hospitalist Program - Per Diem

SolutionHealth; Manchester (NH); On-site; USD 50,000 - 90,000; Part time

Job summary

An established healthcare provider seeks a dedicated RN Clinical Care Coordinator to enhance patient care through effective care management and coordination. In this vital role, you will organize team-based care planning for patients with complex needs, ensuring they receive comprehensive health services. Your expertise will help facilitate a shared care plan across the continuum of care, promoting patient engagement and chronic disease management. This position offers the opportunity to make a significant impact on patients' lives while working in a supportive and collaborative environment. If you are passionate about delivering high-quality, patient-centered care, this role is perfect for you.

Benefits

Health, dental, prescription, and vision coverage

Short-term and long-term disability coverage

Life insurance coverage

Tuition Reimbursement

403(b) Retirement Savings Plan

Qualifications

• 5+ years nursing experience in acute, skilled nursing, community health, or ambulatory setting.
• Current nursing licensure in New Hampshire required, Massachusetts preferred.

Responsibilities

• Manage a panel of active patients requiring complex care management.
• Collaborate with multidisciplinary teams to create individualized care plans.

Skills

Care Coordination

Patient Engagement

Health Literacy Improvement

Chronic Disease Management

Motivational Interviewing

Education

Graduate of an accredited nursing program

BSN or higher-level degree in nursing

Job description

Elliot Health System - RN Clinical Care Coordinator - Hospitalist Program - Per Diem

Apply locations Manchester, NH

Time Type: Part time

Posted on: Posted Yesterday

Job Requisition ID: JR6063

Come work at the best place to give and receive care!

Job Description:

The Nurse Care Coordinator organizes team-based care planning to provide support and comprehensive health services to individuals, mainly focusing on individuals with higher risk and complex needs, through effective partnerships with patients, their caregivers/families, community resources, and their healthcare providers. Performs short term transitional care activities and longer-term care planning for complex patients through facilitation of a shared care plan across the continuum of care to achieve well-coordinated, timely, cost effective, high-quality care that is patient and family centered.

Primary Duties and Responsibilities:

• Manages a panel of active patients requiring complex care management and care coordination support.
• Collaborates with the multidisciplinary team, including the patient and their family, to design and implement holistic individualized plans of care for patients enrolled in care coordination programs.
• Assesses patient and family’s unmet health and social needs as well as health literacy and identifies strategies to resolve needs.
• Assesses and identifies strategies to improve the health literacy of the patient and their family/home care givers as appropriate.
• Promotes patient engagement in self-care management through use of strategies such as creating patient directed care plans and motivational interviewing.
• Provides chronic disease self-management support and education for patient enrolled in care coordination programs. Educates patients and their home care givers on self-management activities, medications, community resources, and advanced care planning.
• Monitors patients’ adherence to plan of care and progress towards mutual goals in a timely fashion, facilitates changes and creates action plans as needed.
• Addresses and works to resolve patient concerns or barriers to achieving personal health goals through health coaching, education and coordination of patient access to community resources, financial assistance, and other supports as appropriate.
• Creates ongoing processes for patients/families to determine and request the level of care coordination support they desire over time.
• Facilitates patient access to appropriate medical, specialty providers, and community providers.

Position Qualifications:

Education: Graduate of an accredited nursing program required. BSN or higher-level degree in nursing preferred.

Licensure/Certifications: Current nursing licensure in the state of New Hampshire required. Registered Nurse Licensure in Massachusetts in addition to New Hampshire preferred. Specialty Certification i.e. ambulatory nursing, CCM, CCTM, Guided care, CHCQM preferred.

Experience:

• 5 or more years nursing experience in acute, skilled nursing, community health and/or ambulatory setting required.
• 3 or more years’ experience in care coordination or case manager role in acute, skilled nursing, community health, and/or ambulatory setting preferred.
• Experience working with an ACO or value-based contracts preferred.

What Elliot Health System Has to Offer:

• Health, dental, prescription, and vision coverage for full-time & part-time employees.
• Short-term disability, long-term disability, and life insurance coverage.
• Competitive pay.
• Tuition Reimbursement.
• 403(b) Retirement Savings Plan.

And more!

Work Shift: Per diem, days

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.