RN - Coordinator - Care Coordination and Resource Services - Full Time - 8 Hour - Days

Education

• Graduate of Accredited School of Nursing - Required

• Master's Degree in Case Management - Preferred

Experience

• 1 year Care Coordination or Care Management - Required

• Two (2) years Nursing - Ambulatory Services - Required

• Two (2) years Nursing - Acute Care - Preferred

• Ambulatory - Independent Physician Practice (IPA) or Medical Group - Preferred

• Health Plan - Preferred

• Care Management Company - Preferred

Certifications/Licensures

• RN Registered Nursing - California Board of Nursing - Required

• BLS Basic Life Support - American Heart Association - Required

• CCM Certified Case Manager- CCMC Commission for Case Management - Preferred

Knowledge, Skills, and Abilities

• Knowledge and skills with EPIC (EMR), PC, word processing, Excel, and database programs.

• Demonstrates organizational skills, ability to set priorities, manage multiple demands, and complete tasks under strict timelines.

• Leadership skills to delegate and provide guidance to staff and hold others accountable.

• Ability to communicate and interact respectfully with patients and families of diverse functional abilities, social, economic, and cultural backgrounds to support patient autonomy and safety.

• Ability to work independently with minimal direction and exercise discretion to make independent judgments, seeking review when decisions represent significant departure from established guidelines.

• Monitors and assesses the flow of information/communication to keep management and other staff appraised of critical information or potential problems.

• Demonstrates effective oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive communication skills.

• Communicates effectively with community leaders, staff, and management both verbally and in writing; uses proper grammar, punctuation, and business formats as appropriate.

• Utilizes effective organizational tools to ensure activities are well planned, communicated, and tracked until completion and due dates are met.

• Demonstrates financial awareness by responsible use of equipment and supplies to control costs.

• Effectively participates as a member of internal and external teams and work groups as needed.

Knowledge, Skills, and Abilities

Clinical Care Coordination

• In-depth knowledge of Geriatrics including common health and functional changes in the aged, and various chronic disease processes.

• In-depth knowledge of current treatments and physical and psychosocial effects.

• Strong clinical assessment and critical thinking skills to develop a comprehensive plan of care that is appropriate to patients with complex medical, emotional, and social needs.

• General knowledge of common diagnoses and procedures.

• General knowledge of individual and family development over the life span, and the influences of cultural and spiritual values in health care.

• General knowledge of government and private insurance benefits, e.g., Medi-cal, Medicare, DRGs, and managed care.

• General knowledge of available health care and community resources appropriate for populations served.

• Demonstrated skills in motivating, mentoring, coaching and redirecting clients in order to achieve compliance with various necessary medical, social, and functional interventions.

• Ability to serve as a health coach to patients in all categories - from wellness, to at-risk due to lifestyle habits, newly diagnosed conditions, chronic disease and to end-of-life.

Work Rules and Practices

Patient Safety - Competency

• Maintains strict confidentiality and demonstrates a clear understanding of HIPAA Privacy and California Confidentiality of Medical Information Act provisions surrounding patient specific processes; maintains compliance with John Muir Health policies.

• Provides a safe working environment for the department by having knowledge of relevant policies and procedures. Reports and corrects unsafe conditions.

• Follows ergonomic policies, procedures and recommendations from the Employee Health Department.

• Adheres to Health System and department policies and procedures regarding sick time, attendance, rest and meal breaks, dress code, safety, etc.

Communication - Competency

• Develops and maintains professional working relationships among department colleagues, providers, collaborating partners, and the JMH system employees.

• Follows appropriate communication channels and is open to provide/receive constructive feedback in a professional manner.

• Supports the mission, philosophy, and goals of John Muir Health.