Care Coordinator RN - Med Surg
Company: CHI Saint Joseph Health
Location: Bryan
Posted on: May 15, 2023
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Job Description:
Care Coordinator RNOverview
CHI St. Joseph Health - College Station/Bryan TX Since 1936 CHI St.
Joseph Health has been caring for the communities in Bryan College
Station Brenham Hearne Navasota Caldwell Madisonville and
Bellville. With the area's only Level II Trauma Center the first
Joint Commission certified Primary Stroke Center and the first
accredited Chest Pain Center in the Brazos Valley; CHI St. Joseph
Health is a leader in critical care and the largest provider of
cardiovascular care in the region. As an integrated healthcare
system CHI St. Joseph Health includes a comprehensive network of
over 100 employed providers including primary care physicians
specialists and advanced practice clinicians. The network includes
more than 20 ambulatory clinics featuring primary care a
freestanding Emergency Room Express Clinics and imaging and
diagnostic services.
Responsibilities
JOB SUMMARY
* The RN Care Coordinator will provide personalized management for
patients across the continuum of care as part of St. Joseph Health
Partners Clinical Integration Initiatives. The Care Coordinator
will navigate patients through the healthcare delivery system
(inpatient, outpatient, ambulatory settings) for patients actively
needing/ seeking care and will also engage patients who have been
identified as needing interventions but not yet actively seeking
assistance from their provider.
ACCOUNTABILITIES
* ESSENTIAL
*
* Set clear expectations for patient responsibilities, support
patient self-management in recovery, and establish feedback loops
between patients and providers to identify complications early
on.
* Proactively identify solutions to promote low acuity utilization
before complications become high priority.
* Leverage data to identify changes in the health status of
well-managed patients.
* Identify and implement case plans that are patient centric.
Communicate with patients using the patients preferred method of
communication.
* Understand value-based reimbursement models and the great impact
they have on St. Joseph Health Partners.
* Follow evidence-based care pathways, coordinating care across
multiple provider sites, and ensure patients follow recommended
recovery care plans.
* Encourage informed patients to select appropriate treatment
options and engage in self- management.
* Collaborate with both St. Joseph's providers and staff within
their offices/clinics and also with healthcare providers in the
community not affiliated with St. Joseph. Focus on cultivating
collaborative working relationships with all community providers
who interact with our patients with the goal of providing patient
centric care.
* Performs other duties as assigned to meet the organization`s
needs.
* Work with CI Executive Director and CI Outcomes Management to
identify best practices for care coordination.
* Participate in workflow committees to develop best practices.
Qualifications
QUALIFICATIONS
* Education
* Required: Associates Degree RN
Preferred: Bachelors Science in Nursing, BSN
* Experience
* Required: 5-7 years nursing experience
Preferred: 5-7 years (Case Management, Utilization Management, ER,
ICU, Home Health, or Hospice)
* Skills
* Required: Computer skills to include navigating complex reporting
software and Microsoft Office.
Ability to articulate care plan and patient needs to providers.
Ability to identify patient self-directed care plans.
* Licensure/Certifications
* Required: RN from Texas Board of Nursing
Preferred: CCM
Keywords: CHI Saint Joseph Health, Bryan , Care Coordinator RN - Med Surg, Healthcare , Bryan, Texas
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