8 days old

Clinical Specialty Nurse (RN) - Care Coordinator Case Management

Providence Health & Services
Mission Hills, CA 91345
**Providence is calling a** **Clinical Specialty Nurse (RN) - Care Coordinator Case Management (Full time/Day shift)** **to Providence Facey Medical Foundation in Mission Hills, CA.**
**We are seeking a** **Clinical Specialty Nurse (RN) - Care Coordinator Case Management** who will provide professional nursing care to patients who present urgent, emergency or potential health problems utilizing basic nursing principles. The Clinical Specialty Nurse Care Coordinator's primary responsibility is to administer care coordination activities. This will include monitoring care coordination processes and support primary clinical teams with these efforts. It will also include identifying the high acuity patient population and working more directly to ensure care coordination for this patient population. Streamline and support the appropriate utilization in selected groups such as ACO and Managed care settings. Assuring and facilitating the appropriate transitions of care between various points of services and facilitate patient engagement. The Clinical Specialty Nurse Care Coordinator behaves in a professional manner, and consistently demonstrates and promotes the values of Facey Medical Foundation.
**In this position you will have the following responsibilities:**
+ Deliver upon the service expectations of both our patients and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than
+ Respect the dignity, confidentiality and privacy of patients
+ Work in a safe manner, adhering to general safety precautions and standards. Report any unsafe conditions to their supervisor and/or the safety hotline
+ Work with all clinical teams as a resource on care coordination of all patients of the practice, this would include the following:
+ Pre-visit planning workflow to ensure care completion prior to visit whenever possible
+ Serve as a resource to clinical staff and providers to meet quality goals by reaching out to patients
+ Maintain strict confidentiality; follow HIPPA regulations
+ Treat staff, physicians, NPs/PAs, visitors, patients and families with dignity and respect
+ Participate in professional development activities
+ Perform other related work as required
+ Follow up with patients to ensure arranged services are received
+ Involving the patients in activities to improve their health (patient engagement);
+ Educating the patient about self-management tasks they can undertake to gain greater control of their health status
+ Actively manages assigned panel of chronic care patients (high acuity):
+ Develop relationship with patient as an integral member of team by phone, portal, etc.
+ Provide follow-up contact with patient as indicated to ensure compliance with recommendations medications, lab/x-ray, specialist visits, PCP visits, dietitians, CDE, etc.
+ Anticipate the needs of this patient population, seeing that necessary documentation and pre-visit planning is completed or requested before patient visit;
+ Collaborate with the patient, physician, and other care team members in assessing the patients progress toward individual health care goals;
+ Communicate barriers to physician when patient has not met treatments goals, is not following treatment plan of care, or has not kept important appointments;
+ Assist with procurement, and adoption of patient self-management educational resources used by the primary clinical teams
+ Manage many aspects of the patients care: referral to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services
+ Assist patients in setting SMART goals for self management, teaching them how to do self-management tasks and report abnormal findings to their physician team
+ Ensure safe and effective care while the patient transitions in the care continuum. Serve as the bridge between consulting physicians, hospitals, ER and other frequently used healthcare resources and the patient and/or family
+ Collaborate with physician, NP/PAs, clinical and non-clinical staff to identify appropriate patients for care transition services
+ Prioritize referrals and activities according to protocols (staff will send copy to coordinator)
+ Helps coordinate consult/referral, hospital/ER, community resource follow-up for the practice
+ Coordinate clinical follow-up with patients per protocol when indicated
+ Assist with care coordination, arranging services for members, such as home health, DME, physician appointments, specialist appointments and transportation and to community resources
+ Provide information and guidance to patients and/or family regarding effective care transitions and enhanced patient-care team communication
+ Maintain accurate and timely documentation
+ Participate in the huddles, phone calls and team meetings as time and physical location allows
+ Basic patient care skills/Review clinical -- vitals, BP, history taking, IM/Sub Q injections, EKG, treadmill, catheterization, PTSs, Accu check, sterile technique procedure set-ups, assist in minor surgeries, pulse oximetry, phlebotomy, autoclaving, controlled substance count
+ Assist with emergencies as needed
+ Follow-up on discharged patients by telephone as necessary to ensure delivery of medical equipment, home health visits and assesses how they are doing
+ Provide accurate, complete, legible and timely documentation of all nursing interventions in the medical record
+ Demonstrate a thorough knowledge of nursing procedures
+ Communicate clinically significant information to the physician, including but not limited to, abnormal test results, patient concerns and changes in the patients condition
+ Comply with all applicable infection control and safety procedures
+ Demonstrate awareness of current state, federal and local laws governing the delivery of care:
+ Use appropriate reporting mechanisms as required by state laws
+ Respect the dignity, confidentiality and privacy of patients
+ Obtain appropriate authorizations and consents for treatment
+ Provide open and timely communication with patients and their families:
+ Provide sufficient information to allow patients and their families to participate in the patients care
+ Provide educational resources to the patient/family as appropriate
+ Demonstrate commitment to education and sharing of knowledge:
+ Assist in the orientation of new personnel to the office
+ Obtain ongoing education consistent with level and area of practice
+ Maintain current ACLS and American Heart Association BLS for Health Care Providers and other appropriate licensure/certifications
**Required qualifications for this position include:**
+ Graduate of a recognized Registered Nursing program
+ Current California RN license
+ American Heart Association BLS for Health Care Providers
+ 2 years experience in a hospital setting in any of the sub specialty areas such as; Medical surgical unit, Emergency Room, Telemetry Unit, Intensive Care Unit and/or combined Home Health and Case Management
+ Knowledge of medical practice and care of patients
+ Knowledge of examinations, diagnostic and treatment procedures,
+ knowledge of medical equipment and instruments
+ Knowledge of common safety hazards
+ Ability to use good judgment and critical thinking skills; ability to identify and resolve problem
+ Ability to apply guidelines and protocols
+ Ability to establish and maintain effective working relationships with patients, families, medical staff, and co-workers
+ Ability to work independently, while collaborating with other team members
+ Ability to self-motivate, prioritize, and is willing to invest in a change process to improve efficiencies. Excellent written, verbal and listening communications skills
+ Proficient computer skills data entry, retrieval and report generation
+ Ability to work with a diverse patients/family population
**About the hospital you will serve.**
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
**We offer a full comprehensive range of benefits - see our website for details**
**Our Mission**
As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
**About Us**
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Nursing - Other
**Location:** California-Mission Hills
**Req ID:** 255653


Posted: 2020-05-19 Expires: 2020-06-18

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Clinical Specialty Nurse (RN) - Care Coordinator Case Management

Providence Health & Services
Mission Hills, CA 91345

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