Job Title: Nurse Care Coordinator - RN
Department: Enabling Services
Location: Remote Position (Selected candidate must reside in the state of Colorado)
Position Type: Full-Time

Pay Range: Hourly – Min: $28.00 – Max: $34.00 (based on qualifications and experience)

Benefits:

• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Aflac – Group Accident, Group Critical Illness, Hospital
• MASA – Employer paid Air Ambulance Coverage
• Paid Leave: Vacation – 10 days accrued/year, Sick – 12 days accrued/year, Holidays – 8 days/year
• (Benefits after one year of employment.) Retirement Match, Employer paid Basic Life, LTD, STD

Job Summary:

The Nurse Care Coordinator works in collaboration and continuous partnership with chronically ill or “high-risk” patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach

Must foster a culture of patient and family centered care, service, quality and safety excellence, while improving patient experience, employee experience and community relations

Primary Duties & Responsibilities:

• Promote timely access to appropriate care
• Increase utilization of preventative care
• Reduce emergency room utilization and hospital readmissions
• Increase comprehension through culturally and linguistically appropriate education
• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
• Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
• Increase patients’ ability for self-management and shared decision-making
• Provide medication reconciliation
• Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing
• Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources
• Work with patients to plan and monitor care:
• Assess patient’s unmet health and social needs
• Develop a care plan with the patient, family/caregiver(s) and providers (emergency plan, health management plan, medical summary, and ongoing action plan, as appropriate)
• Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed
• Create ongoing processes for patient and family/caregiver(s) to determine and request the level of care coordination support they desire at any given point in time
• Facilitate patient access to appropriate medical and specialty providers
• Educate patient and family/caregiver(s) about relevant community resources
• Facilitate and attend meetings between patient, family/caregiver(s), care team, payers, and community resources, as needed
• Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals
• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs)
• Attend all Care Coordinator training courses/webinars and meetings
• Provide feedback for the improvement of the Care Coordination Program
• Coordinates all diagnostic orders in conjunction with workflow. Accurately documents tracking of orders daily and throughout the order cycle.
• Uses reports daily to manage the status; schedule appointments, obtain prior authorizations, notify patients, track and monitor as defined in workflow; follow up on pending or incomplete prior authorizations and orders001
• Licensed/Certified Staff:
• Performs office nurse duties within scope of licensure as needed
• Licensed staff will need to be privileged and credentialed as an Other Licensed or Certified Health Care Practitioner (OLCP).
• A competency check must be completed at the time of the credentialing process

Job Qualifications

Knowledge, skills, and ability:

• Bilingual Preferred
• Must be familiar with community agencies, ability to work independently with internal and external customers
• Strong written and verbal communication skills
• Able to take and follow through with delegated tasks and accountability
• Ability to demonstrate excellent customer service and strong cultural competency
• Ability to adhere to strict confidentiality guidelines
• Medical terminology

Experience:

• 2+ years experience working with patients with chronic conditions, Prenatal/Perinatal patients, Children & Families. Prior experience with care coordination/care management in a medical setting. Prior experience with managing competing priorities. Professional work experience will be considered

Qualities & Characteristics:

• Maintains a professional relationship and positive attitude with co-workers and patients
• Ability to communicate with staff at all levels
• Displays enthusiasm toward the work and the mission of the organization
• High degree of accuracy, attention to detail, multitasking skills and prioritizing

Required Education:

• Bachelor of Master's degree in Nursing

Working Conditions & Physical Environment: While performing the duties of this position the employee travels frequently by vehicle for home visits. Position involves frequent walking, standing, sitting, talking/hearing, bending, requires use of nursing equipment, some use of general office machines including computer, copier, printer, fax, phones, calculators, and shredder.

Selected candidate must reside in the state of Colorado.

Applications must be submitted by: Applications will be accepted until position is filled.

Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer:

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA)