Job description
Overview
***This position will be hybrid in-office and work from home.
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
Position Summary:
The Arizona Care Network (ACN) is a clinically integrated physician network (CIN) established as a result of a Dignity Health and Tenet Health physician collaboration. The RN Care Coordinator is an employee of Dignity Health Managed Services Organization (DHMSO), a physician support organization owned by Dignity Health.
The RN Care Coordinator (CC) is an individual with significant experience and demonstrated ability to engage providers and care teams in collaborative care , generation of better clinical outcomes, driving higher patient satisfaction with service delivery, and efforts to improve the cost-efficiency and value of service delivery.
Responsibilities may include:
Qualifications
Minimum Qualifications:
***This position will be hybrid in-office and work from home.
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
Position Summary:
The Arizona Care Network (ACN) is a clinically integrated physician network (CIN) established as a result of a Dignity Health and Tenet Health physician collaboration. The RN Care Coordinator is an employee of Dignity Health Managed Services Organization (DHMSO), a physician support organization owned by Dignity Health.
The RN Care Coordinator (CC) is an individual with significant experience and demonstrated ability to engage providers and care teams in collaborative care , generation of better clinical outcomes, driving higher patient satisfaction with service delivery, and efforts to improve the cost-efficiency and value of service delivery.
In this role the RN Care Coordinator supports the community clinical care teams in such a manner that the Care Coordinator becomes an integral part of the local care team (either in-person or virtually) providing care coordination under the supervision of the patient’s personal clinician.
The RN Care Coordinator also represents to the community clinical care teams ACN’s significant Population Health Management (PHM) capabilities in order to allow for the expansion and intensification of PHM activities within all care locations across the network, to include ambulatory and inpatient facilities. In this role the Care Coordinator will provide actionable information that will allow each care team to take advantage of the risk-segmentation, risk-stratification, care gap analysis, clinical and financial benchmarking, and specialized Care programs and campaigns made available by ACN to all its collaborating clinical sites.
The RN Care Coordinator also represents to the community clinical care teams ACN’s significant Population Health Management (PHM) capabilities in order to allow for the expansion and intensification of PHM activities within all care locations across the network, to include ambulatory and inpatient facilities. In this role the Care Coordinator will provide actionable information that will allow each care team to take advantage of the risk-segmentation, risk-stratification, care gap analysis, clinical and financial benchmarking, and specialized Care programs and campaigns made available by ACN to all its collaborating clinical sites.
Responsibilities may include:
- Concurrently reviews patient’s records to collect data to carefully understand the needs of the patient by scrutinizing their background history, understanding their current needs, and arranging for their wellbeing.
- Coordinates with other disciplines to facilitate the patient’s individual needs. Makes plans to resolve unexpected care requirements. Anticipates and identifies variances in the care process related to those identified needs.
- Assists in development, implementation and revision of individual care plans; assures that services provided are specified in the Care Plan and monitors progress toward treatment goals, including documentation of improvement in patient’s condition or otherwise notes lack of improvement for reassessment of appropriateness of care plan.
- Is available for medication reconciliation and as well as condition education face-to-face and telephonically.
- Is available for patient visit participation for medically complex patient education and comprehension needs.
- Collaborates with other team members to ensure appropriate interventions are implemented. These communications will be needed as frequently as is need to ensure care is appropriate according to patient status.
- Coordinates with other disciplines to facilitate the patient receiving the required care at the expected time including plan of care to reduce incidence or re-admission to acute care setting, including physical, occupational and rehabilitative therapy.
- Communicates with providers to ensure home health referralsand durable medical equipment delivery.
- Measures effectiveness and outcomes of the care plan and collaborates with the health care team for quality improvement.
- Interacts with patient and family providing transition plan for care plan goals and post-discharge needs.
- Assesses and makes referrals to appropriate community resources to facilitate patient progression toward expected goals/outcomes.
- Has a working knowledge of the financial aspects related to a variety of payer sources.
- Reports weekly to the Director of Care Coordination or Medical Director for Quality and Utilization regarding patient status and identifies any potential risk management.
- Maintains case files and reports.
- Other duties as assigned.
Qualifications
Minimum Qualifications:
Minimum 2 years experience as a Case Manager in a hospital, nursing home, medical group, or health plan setting.- Bachelor Degree in Nursing or equivalent experience.
- Current Registered Nurse (RN) License in Arizona.
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