RN Care Coordinator

ACCESS Community Health Network • Chicago, IL

5h

About The Position

The RN Care Coordinator is a Registered Nurse who provides care coordination, social support services and outreach services to assist patients in navigating health care transitions, and support patient empowerment through health education, advocacy and coaching.
Serve as team lead for intake process, development and maintenance of care plan and promoting health programs and services.
Utilize information systems and decision support, manages a patient panel to proactively contact, educate, and track patients by disease, risk, and self-management status, as well as family and community need.
Lead Patient-Centered Care Planning including assessment, plan, implementation/intervention and evaluation, as well as a method for monitoring and intervening.
Conduct (face-to-face) visits according to policy and workflows
Provide resources to support patient/families in self-management to meet health care treatment goals, assess readiness to learn and validate learning outcomes.
Assist patients and providers from across the care continuum in the transition from outpatient- to inpatient setting, and ensure post-emergency department, hospitalization, and/or specialist follow up.

Requirements

• Associate’s degree required; Bachelor’s degree preferred
• Registered Nurse (RN); current unrestricted licensure in Illinois, required
• Minimum of one (1) year of general nursing experience in a clinical setting is required.
• Previous experience using an electronic medical record preferred.
• Intermediate proficiency in Microsoft Office products (Word, Excel, PowerPoint) required.
• Local travel between health centers and community events is required; mode of transportation required
• If personal vehicle is employed, a current driver’s license and proof of insurance is required
• If remote/hybrid; requires suitable and secure working environment, acceptable internet speeds, adequate childcare provisions

Nice To Haves

• Care Coordination experience preferred.
• Bilingual Spanish a plus.

Responsibilities

• Serve as team lead for intake process, development and maintenance of care plan and promoting health programs and services.
• Utilize information systems and decision support, manages a patient panel to proactively contact, educate, and track patients by disease, risk, and self-management status, as well as family and community need.
• Lead Patient-Centered Care Planning including assessment, plan, implementation/intervention and evaluation, as well as a method for monitoring and intervening.
• Conduct (face-to-face) visits according to policy and workflows
• Provide resources to support patient/families in self-management to meet health care treatment goals, assess readiness to learn and validate learning outcomes.
• Assist patients and providers from across the care continuum in the transition from outpatient- to inpatient setting, and ensure post-emergency department, hospitalization, and/or specialist follow up.

Benefits

• Tuition reimbursement and student loan forgiveness programs for qualifying individuals
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree