Nurse Care Coordinator
Community Health of Central Washington (CHCW) is seeking a full time Nurse Care Coordinator, in our Population Health Care Department.
The RN Care Coordinator works closely with identified high-risk and complex patients, and patients experiencing transitions in care. Provides guidance and advocacy to better promote the patient’s physical, emotional and spiritual health. Focuses on decreasing high ER utilization and hospital re-admission frequencies. Facilitates access to appropriate medical and specialty providers. Coordinates timely communication between patient and primary care providers to improve health outcomes.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Assesses the physical, functional, social, psycho-social, and environmental needs of patients.
- Provides clear and concise documentation, reflecting content and intent, for all patient interactions.
- Provides education for patients and caregivers as needed, for understanding diagnoses, treatment options, illness progression, wellness and self-care measures.
- Utilizes the Transitions in Care phone contact with patients to reduce emergency room utilization and hospital readmissions.
- Increases continuity of care by managing relations with tertiary care providers, and connection with community resources. Increases patient’s ability for self-management and shared decision-making.
- Provides medication reconciliation as requested by providers, in emergent or complex situations; and for Health Home Case Managers as needed.
- Preserves and protects patient confidentiality in all situations, and with all documentation.
- Advocates for the patient and family, and protects patient’s autonomy, dignity, and decision-making rights.
- Participates in team meetings when appropriate, to support the care management patient.
- Responds to electronic referrals placed in EHR.
- Provides home visits, when appropriate, to gain a larger awareness of the patient’s healthcare barriers, and to offer suitable community resources as needed.
- Collaborates with other clinic disciplines to include: BHC, Case Management, nursing staff, Health Home case managers, providers, and Outreach; to provide optimum patient care.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Associate of Nursing or License Vocational Nurse and two years of clinic office nursing experience. Prior experience with chronic disease management of care preferred. Prior experience in patient education preferred.
- Current driver’s license and auto insurance
- Washington State Registered Nurse license
- Excellent health insurance (M/D/V)
- Paid holidays (8)
To apply, please submit an employment application and resume to HRRecruiter@chcw.org