Join Utica Park Clinic as a Full Time, Day Shift, Population Health RN Care Coordinator!

Utica Park Clinic (UPC) is part of Ardent Health Services, based in Nashville, Tennessee. Ardent makes considerable investments in people, technology, facilities, and communities, producing high quality care and extraordinary results.

Utica Park Clinic is the physicians group of Hillcrest HealthCare System. With over 60 locations throughout northeastern Oklahoma, most patients enjoy the convenience of a location that is close to home. UPC patients have consistently given top ratings (98% patient satisfaction scores) for the quality of care they receive. When choosing a healthcare provider, you can be confident that you'll find a good match at Utica Park Clinic.

UPC Population Health is currently looking for a member to join our team! The Care Manager (RN) will report directly to the Office Manager and will be accountable for incorporating social work within the Population Health System.

ESSENTIAL FUNCTIONS/RESPONSIBILITIES

Want to make a difference? The ideal team member will:

• Contribute to the development, modification and implementation of the patient’s individualized care plan for designated patient panel(s) – high risk patients.
• Provide individualized evidence based care coordination / management for patients with identified needs in collaboration with the PCP and health care team members.
• Work with patients and families (may include phone contacts / face-to-face visits, other means of communication as approved by patient) to develop and foster ongoing professional relationship, patient engagement and patient centered care:
• Coordinate care across the care continuum by acting as liaison, and working collaboratively with care team in the best interest of the patient.
• Document patient contacts, care provided, education, and communication with other providers regarding patient care in the patient’s EMR (EPIC), Phytel, or registry.
• Demonstrate collaboration with the leadership team as needed to assist in development of objectives and processes by engaging providers and staff; collaboration and coordination of information and education; and development of nursing care management processes.
• Participate in performance improvement activities and system improvements to achieve goals. Assist with creation of reports and presentations regarding current activities in patient centered care and quality improvement.
• Utilize and interpret patient data from EPIC EMR, Phytel, payer information and other resources for quality improvement activities, identification of high risk patients, gaps in care, preventive health needs, utilization review/management and other pertinent patient related information.
• Participate in continuing education activities as required to build on knowledge base (may include: webinars, self-directed learning, conferences, and hands-on learning).
• Participate in meetings with practice level healthcare teams, patient care coordinators, quality improvement committee, and other meetings/committees as requested.
• Will demonstrate effective teaching techniques, applying adult learning principles.

Position Requirements:

Qualifications for this position include:

• Associate Degree
• Current Oklahoma License – Registered Nurse
• Prefer medical/surgical or geriatrics background with at least one year physician office experience (adult/family medicine), Quality Improvement, Case manager, Utilization Review, Risk Management/Safety experience a plus.