RN- COMPREHENSIVE CARE COORDINATOR - HYBRID

Aspirus, Inc; Town of Wausau (WI); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Full benefits

Paid time off

Retirement plans

Wellness program

Job summary

Aspirus Health in Wausau, WI seeks an RN Comprehensive Care Coordinator to assess, coordinate and integrate care for patients with complex conditions. This full-time position requires an active Wisconsin RN license, with potential Michigan licensure and experience in utilization review.

You will work with physicians and health professionals to deliver population health management across the continuum of care.

Qualifications

• Must have knowledge of utilization review standards and patient care practices.
• Minimum five years of acute care hospital experience.
• Experience in critical care, general medical/surgical nursing; exposure to utilization review and medical record reviews.
• Active Wisconsin RN license; Michigan license to be pursued.
• Bachelor's degree in nursing; quality or Utilization Review certification; professional memberships beneficial.
• Knowledge of Medicare, NCQA, quality improvement principles.

Responsibilities

• Assess, coordinate, and integrate healthcare for patients with complex or chronic conditions.
• Collaborate with physicians, staff, and other health professionals to support patient-centered care.
• Deliver population health management practices to reduce unnecessary utilization.
• Communicate effectively with patients and teams.

Skills

Clinical judgment

Communication skills

Team collaboration

Multitasking

Education

Bachelor's degree in nursing

Utilization Review certification

Case Management certification

Tools

Microsoft Word

Microsoft Excel

Job description

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

RN COMPREHENSIVE CARE COORDINATOR
Aspirus Health, Wausau, WI
Full-Time or 1.0 FTE, 80 hours every pay period
8-hour weekday days shifts

The RN Comprehensive Care Coordinator is a Registered Nurse (RN) directly responsible for assessing, coordinating, and integrating healthcare for patients with complex or chronic conditions across the continuum of care. This RN position manages all aspects of patient centric care coordination through collaboration with physicians, staff, and other health professionals to assist patients to reach optimal function and health in an appropriate environment that supports their needs. The RN Comprehensive Care Coordinator will work directly with the entire health care team to deliver innovative population health management practices for patients with ongoing medical and/or social concerns leading to higher utilization of health care services.

Experience/Qualifications:

• Knowledge of utilization review standards and patient care practices normally acquired through graduation of an accredited school of professional nursing.
• A minimum of five years of acute care hospital experience.
• Experience in critical care, general medical and/or surgical nursing, and experience in educational presentations beneficial, as well as previous experience in the application of Utilization Review activities and medical record reviews.
• Possesses an active Wisconsin RN nursing license. Will need to pursue a Michigan nursing license.
• A bachelor's degree in nursing, successful completion of quality or Utilization Review certification examination, and active membership in professional organizations (i.e., NAHQ, WAHO) beneficial. Certification in Case Management desired.
• Possesses general understanding and knowledge of:
• Medicare system
• MedStar initiatives
• Utilization review principles and objectives
• Managed care indicators
• NCQA standards and requirements
• Quality Improvement principles and Risk Management objectives
• Possesses strong clinical skills, assessment, and good professional judgment, as well as broad-based knowledge of medical management, nursing management and medical terminology.
• Demonstrates the ability to read and comprehend government regulations and contracts.
• Demonstrates familiarity and knowledge of medical records organization and procedures.
• Skills in organizing and prioritizing work along with multi-tasking simultaneously.
• Skills in working effectively as a dedicated, creative, and resourceful team player.
• Possesses excellent oral and written communication skills as well as excellent interpersonal and public relations skills.
• Demonstrates sound clinical judgment, decision-making, and problem-solving skills.
• Willingness to be a change agent and positive role model.
• Knowledge of motivational communication techniques to engage patients/families.
• Ability to demonstrate a strong, autonomous work ethic with qualities of personal and professional integrity.
• Detail and goal oriented demonstrated by personal initiative and accountability.
• Possesses confidence to communicate and outreach to other community health care organizations and personnel.
• Possesses proficient computer skills, including Microsoft Office (specifically Word and Excel).

Employee Benefits

• Full benefits packages available for part- and full-time status.
• Time away from work accrual.
• Retirement plans available.
• Wellness program for employees and their families.

Our Mission

We heal people, promote health and strengthen communities.

Our Vision

Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.