Job description
I. Position Summary
To develop and implement a patient care team model that will facilitate care coordination in accordance with managed care and PCMH with the over goal of improved quality and delivery of comprehensive patient care.
II. Educational Requirements
Current State of Illinois RN and or LPN license required, BSN required. Current CPR certification; Current Illinois Driver's license.
III. Experience, Related Skills
5 years healthcare care coordination or disease management experience and current Illinois RN license
Experience in an ambulatory health care setting or a federally qualified health center is required. Displays strong time management and organizational skills in a high intensity, patient focused work environment. Demonstrates strong problem solving, decision making and sound judgment as well as exceptional customer service skills. Strong oral/written communication skills a must.
IV. Essential Job Duties & Responsibilities
- Develops, implements, and evaluates care management policies, goals, and objectives.
- Support care team surrounding care coordination and implementation of care plan.
- Develops, implement, and ongoing clinical assessments of an integrated patient care plan for each high and medium risk patient.
- Collaborates and participates in the selection, development and maintenance of patient education
- Develops appropriate plan of care based on patient’s identified need.
- Work with Supervisor to integrate care coordination services into care team model.
- Monitor day to day activities of assigned staff, assesses performance, identifies areas that require improvement, provides feed- back, and develops plan for training and growth.
- Provides orientation, education and training for staff as indicated.
- Analysis and tracking of data
- Investigates and resolves complaints from members and providers
- Participates in appropriate department and organization committees
- Perform other related duties and/or projects as assigned
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