- Demonstrates knowledge, skills and abilities to provide care to the age groups served (birth and above).
- Demonstrates knowledge of normal growth and development.
- Interpret age-specific responses to treatment.
- Demonstrates knowledge of age-specific safety precautions.
- Utilize evidence based practice standards and knowledge of Chronic Illness, to coordinate care for patients.
- Collaborate with providers/clinical teams to identify target patient population for care coordination based on eCW reports, lab/diagnosis criteria, and individual recommendations.
- Collaborate with care team regarding patient plan of care issues, testing or specialty referrals or f/u.
- Coordinate process for outreach to patients with care opportunities.
- Initiate follow up phone calls after hospital/ER discharge, office visits for high acuity, and identified high risk patients
- Initiate pre-visit planning, anticipate the coordination needs of the patient panel , and delegate the task of obtaining necessary documentation, lab tests, consult reports and hospital/ER discharge papers prior to patient visits
- Evaluate patient visit lists at least a week prior to day of appointment to begin care coordination.
- Refer patient to appropriate education and maintenance care: Health Coach, Nutrition, CPE's, immunizations, Ophthalmologist, Podiatrist, Dental.
- Educate patients about self-management tasks they can undertake to gain greater control of their health status
- Provide information to patients regarding activities/classes/community resources to improve their health (patient engagement)
- Utilize technology to assist with all aspects of care: EMR documentation, disease registry, merging of templates per standing orders, using alerts to determine overdue care, service testing and or screening.
- Ensures patient care safety and management compliance with local, state, and federal regulations (OSHA, NCQA, NYSDOH, HRSA)
- Performs patient care activities (initial check in/room patients, perform nursing assessment, triage patients, obtain vital signs, assist Providers with office visit duties.
- Consistently follows established protocols or clinical guidelines in providing patient care.
- Consistently follows infection control policies in administering patient care.
- Consistently identifies patient/family educational/learning needs regarding illness/care.
- Assists with orientation of new employees.
- Cognizant of language needs/literacy levels for patient teaching.
- Recognizes and communicates changes in patient condition to providers in a timely manner.
- Plans for and demonstrates flexibility in personal work flow in response to changes in patient condition and unit workload.
- Participates in performance improvement activities as requested.
- Demonstrates knowledge of current immunization practices.
- Conducts drug screenings.
- Administers and Reads PPD Tests.
- Sets up appropriate work area including exam rooms.
- Maintains appropriate medical records utilizing the program's medical record system.
- Maintains accurate patient telephone and written correspondence.
- Accurately completes charting, referral, lab and other documentation.
- Provides individual and group counseling
- Maintains inventory of medication and supplies
- Communicates treatment changes with the treatment team to ensure comprehensive care.
- Maintains accurate patient telephone and written correspondence.
- Accurately collects and documents clinical data and other data as required (i.e. clinical and referral logs, quality control documents).
- Consistently utilizes available resources to validate information and/or assessments
- Consistently utilizes documentation as a tool of communication.
- Documentation accurately reflects nursing assessments, interventions, treatments and medications.
- Accurately completes charting, referral, lab and other forms.
- Performs accurate physical assessments.
- Collaborates with multidisciplinary team to identify patient needs.
- Demonstrates acceptable technical skills in providing patient care.
- Administers medications safely in accordance with relevant policies.
- Demonstrates initiative and flexibility with assignments.
- Assists, as needed, with procedures.
- Considers patient age and special needs in all care rendered
- Demonstrates excellence in both internal and external customer service.
- Understands and is able to effectively communicate HIPAA compliance, corporate compliance and client confidentiality.
- Ensures and/or remains in compliance with local, state, and federal regulation, i.e. DHHS HRSA, OASAS and NYSDOH, and all accreditation standards (e.g. Joint Commission and NCQA-PCMH).
- Adheres to the National Patient Safety Goals as defined by the Joint Commission and Whitney M. Young Jr. Health Center.
- Completes other duties as assigned.
-
Patient Care Coordinator-remote Nationwide
5 days ago
Optum Albany, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
-
Promenade at University Place Albany, United StatesPromenade at University Place is looking to hire a compassionate and creative person to serve as our Activity Director for both our Assisted Living and Memory Care residents. · Reporting to the Executive Director, the Activity Director would plan, organize and schedule all activi ...
-
Mltc Care Coordinator
1 week ago
Nascentia Health Latham, United StatesThe MLTC Care Coordinator provides administrative and technical support to the Clinical Supervisor and team members. Responsible for the operational aspects of the referral and authorization process. Coordinates authorized services with appropriate agencies. Communicates with Mem ...
-
Care Coordinator
1 week ago
Trinity Health Albany, United StatesEmployment Type: · Part time · Shift: · Rotating Shift · Description: · Care Coordinator – St. Peter's Hospital - Per Diem - Rotating · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, prov ...
-
Care Coordinator
1 week ago
Whitney M. Young Jr. Health Center Albany, United StatesGENERAL RESPONSIBILITIES: The Care Coordinator is a member of the Community Prevention and Treatment Services Team. This position works directly with patients who are living with infectious diseases and experiencing barriers to care and treatment. Populations served by CPTS Care ...
-
Care Coordinator
5 days ago
Catholic Charities Albany, United States· Our team is looking for the right it you? · Catholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable. Catholi ...
-
care coordinator
1 week ago
St. Peters Health Partners Albany, NY , USA, United StatesEmployment Type: · Part time · Shift: · Rotating Shift · Description: · Care Coordinator - St. Peter's Hospital - Per Diem - Rotating · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, prov ...
-
Care Coordinator
1 week ago
Trinity Health Albany, United StatesEmployment Type:Part timeShift:Rotating ShiftDescription:Care Coordinator - St. Peter's Hospital - Per Diem - RotatingUnder the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social work staff, provides follow up to ...
-
Care Coordinator
5 days ago
Whitney M. Young Jr. Health Center Albany, United StatesGENERAL RESPONSIBILITIES: · The Care Coordinator is a member of the Community Prevention and Treatment Services Team. This position works directly with patients who are living with infectious diseases and experiencing barriers to care and treatment. Populations served by CPTS Ca ...
-
Care Coordinator
1 week ago
Catholic Charities of the Dioscese of Albany Albany, United StatesJob DescriptionOur team is looking for the right it you?Catholic Charities is an organization that values helping others at any stage in their life, regardless of race, creed, or lifestyle. We place a special emphasis on helping those who are economically poor and the vulnerable ...
-
care coordinator
1 week ago
Trinity Health Albany, NY , USA, United States**Employment Type:** · Part time · **Shift:** · Rotating Shift · **Description:** · **Care Coordinator - St. Peter's Hospital - Per Diem - Rotating** · Under the direction of the Supervisor of Care Coordination and the immediate supervision of the professional nursing and social ...
-
Care Coordinator
1 week ago
Trinity Alliance of the Capital Region Albany, United StatesJob Description · Job DescriptionTrinity Alliance of the Capital Region is one of the area's leading social services organizations with a mission to promote healthy families, improving communities and providing education and employment, as a means to change generations. Founded i ...
-
rn care coordinator
1 week ago
Whitney M Young Jr Health Center Albany, NY , USA, United StatesGENERAL RESPONSIBILITIES: The Registered Nurse (RN) Care Coordinator serves as a member of the Community Prevention and Treatment Services (CPTS) Team. Working directly with patients who are living with infectious diseases and experiencing social drivers of health (SDOH)-often se ...
-
Clinical Care Coordinator
1 week ago
St. Margaret's Center Albany, United StatesJob Description · Job DescriptionClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, ...
-
Clinical Care Coordinator
1 week ago
St. Margaret's Center Albany, United StatesClinical Care CoordinatorFull Time Days * Monday - Friday * $ /hourSt. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nur ...
-
Clinical Care Coordinator
2 weeks ago
St. Margaret's Center Albany, United StatesClinical Care CoordinatorFull Time Days * Monday - Friday * $ /hourSt. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, St. Margaret's Center is a skilled nur ...
-
Clinical Care Coordinator
2 weeks ago
St. Margaret's Center Albany, United StatesJob Description · Job DescriptionClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, ...
-
Clinical Care Coordinator
1 day ago
St. Margaret's Center Albany, United StatesJob Description · Job DescriptionClinical Care Coordinator · Full Time Days * Monday - Friday * $ /hour · St. Margaret's Center, an affiliate of Center for Disability Services, is a pediatric and young adult 94-bed skilled nursing facility, located in Albany, NY. Founded in 1883, ...
-
Health Home Care Coordinator
1 day ago
Whitney M Young Jr Health Center Albany, United StatesAt Whitney Young Health, Health Home Care Coordination and service providers work together to make sure children get the care and services they need to stay healthy at the right time in the right amounts. A dedicated Health Home Care Coordinator is assigned to a child and is resp ...
-
Health Home Care Coordinator
1 week ago
Whitney M Young Jr Health Center Albany, United StatesWhitney Young Health (WYH), in partnership with Capital Region Health Connections, is committed to providing comprehensive community-based case management services to adults with chronic medical conditions and co-occurring mental health and substance abuse disorders, through Heal ...
rn care coordinator - Albany, NY , USA, United States - Whitney M Young Jr Health Center
Description
GENERAL RESPONSIBILITIES:The Registered Nurse (RN) at Whitney Young Health (WYH) will demonstrate professional nursing practice, excellent communication and critical thinking skills, self-management expertise along with outstanding customer service to promote and assist individuals to manage their health through chronic disease management, wellness promotion and early detection. RN will assist in coordination and integration of medical and behavioral health by working with the patient as well as various WYH health care staff to achieve an effective continuity of care.
SPECIFIC RESPONSIBILITIES:
Age Specific Criteria
MINIMUM QUALIFICATIONS:
Associates degree/graduate of a registered approval program for Registered Professional Nurses with current NYS registration. Two (2) years' experience in a health care setting. Demonstrated excellent customer service, good communication, and interpersonal skills. Beginner to intermediate proficiency with Microsoft Office suite.
PREFERRED QUALIFICATIONS:
Bachelor's degree in Nursing and/or two (2) years' experience working with patients with chronic conditions or care coordination in a medical setting. Flexibility in schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.
Salary range: $62,000 - $72,000 annually
