RN Care Coordinator

Southwest Care Center; United States; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Retirement fund (401k)

CME reimbursement

Job summary

Southwest Care Center in New Mexico is looking for a Registered Nurse Care Coordinator to join our clinics in Santa Fe. This role involves coordinating care for patients and ensuring they are linked to important health resources. We prioritize patient independence and have a collaborative healthcare model.

Benefits include medical, dental, vision, life insurance, and contributions to a 401k retirement fund, among others. Join us to make a meaningful impact in the community!

Qualifications

• Experience in providing patient care coordination.
• Knowledge of community healthcare resources and patient advocacy.
• Strong communication and critical thinking skills.

Responsibilities

• Identify high risk/high acuity patients.
• Coordinate care transitions and follow up with patients.
• Communicate effectively with care teams.

Job description

Position Overview

Southwest Care Center (SCC) is a non‑profit healthcare organization who has been providing exceptional healthcare to people within our community for over 25 years. We provide services, including medical, behavioral healthcare, and community outreach, with health centers located in Santa Fe, Albuquerque, Farmington, and Roswell, NM. Southwest Care Center is an FQHC‑LAL. Southwest Care Center is currently seeking a Registered Nurse Care Coordinator within our Santa Fe, NM clinics where we offer both Primary and Specialty Care Services at 3 locations. You will become a part of a dynamic group of healthcare professionals who strive each day to provide outstanding care within the diverse community of SantaFi.

Benefits

Southwest Care Center offers a full benefits package including medical, dental, vision, life, long term and short‑term disability and a 401k retirement fund. Additionally, CME reimbursement is available.

Responsibilities

• Participate in the identification of high risk/high acuity patients.
• Identify and follow up on hospital and emergency department admissions and discharges.
• Oversee care transitions (hospital to home, hospital to rehabilitation center/nursing facility) and coordinate follow up with patient.
• Initiate patients' medication reconciliation.
• Oversee patients' linkages to community resources and social support.
• Closely coordinate and facilitate patients' care with primary care providers, behavioral health specialist and outside providers.
• Act as a patient advocate protecting privacy and confidentiality.
• Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.
• Promote patients’ independence by establishing patient care goals; teaching and counseling patient, friends, and family and reinforcing their understanding of disease, medications, and self‑care skills.
• Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem‑solving methods.
• Model and support development of Medical Assistants.
• Demonstrate prioritization, critical‑thinking and decision‑making skills.
• Offer insight and direction in dealing with clinical situations and respond accordingly.
• Embrace change that improves results and assist others through the change process.
• Act as a team member and provide efficient patient care practices, collaborate with the health care team to assure a team approach.
• Conduct nurse visits to ensure patient care plan is followed.
• Communicate effectively in a timely manner.
• Maintain good working relationships with the health care team in solving problems/issues in delivery of services.
• Provide constructive feedback; resolve conflicts and issues in a timely manner and refer issues as appropriate.
• Maintain effective lines of communication with staff.
• Communicate significant clinical issues; keep leadership apprised of workflow issues and supervisory activities.
• Contribute to developing and attaining long‑range objectives including, but not limited to: financial goals, operations improvement, quality improvement, resource utilization and clinical practice enhancements.
• Represent clinic on inter‑disciplinary committees/work groups.
• Identify key performance indicators for self and team members and develop methods for reaching established goals and measurement of each.
• Participate in developmental and educational programs.

Location and Work Details

Job Details: Location: NM SantaFi - West Alameda; Worker Type: Employee; Regular Scheduled Weekly Hours: 40.

Equal Employment Opportunity Statement

Southwest Care Center is an equal opportunity employer. We offer equal employment opportunities to employees and applicants without regard to race, color, religion, sex, age, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal or state law.