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Chattanooga

    RN Population Health Coach - Chattanooga, TN, United States - Catholic Health Initiatives

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    Healthcare
    Description

    Overview


    CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S.

    News & World Report.

    We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

    We offer the following benefits to support you and your family:
    On-site childcare with extended hours premium account for additional support with children pets dependent adults and household needs Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO)

    Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection:
    Group Accident Critical Illness and Identify Theft Adoption Assistance Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Program Additional incentives for eligible full time day shift and night shift opportunities


    Responsibilities
    With guidance from the local market leadership, the RN Care Coordinator works collaboratively with physicians, staff and other health care professionals within his/her clinically setting to maintain and improve quality and sustainability within the local market network, this work includes:


    • Chronic Disease Management-Develops a plan of care based on a nursing assessment of the patient and their individual circumstances. The plan of care will include patient and caregiver education as well as coordination and collaboration of care with an interdisciplinary team working with that patient. The RN will also be responsible for monitoring the patient's progress with the care plan.
    • Practice Pattern Management-Referral Management, based upon local program criteria
    • Performance Data Interpretation-Participates in development of workflows and audits
    • Evidence-Based Metric (EBM) guidelines / care plans-Implements and hardwires different EBM guidelines in the ambulatory setting as well as facilitating seamless transitions of care between clinic and post-acute settings and between clinic and other health professionals.

    Qualifications

    Required Education and Experience

    • AA degree in Nursing required
    • BSN preferred
    • 2 years relevant experience or advanced degree required
    • 3 to 5 years preferred

    Required Licensure and Certifications

    • State issued license as a Registered Nurse as outlined below
    • ArizonaRN:
    AZ or Compact


    • ArkansasRN:
    AR or Compact


    • CaliforniaRN:
    CA


    • ColoradoRN:
    CO or Compact


    • GeorgiaRN:
    GA or Compact


    • IdahoRN:
    ID or Compact


    • IndianaRN:
    IN or Compact


    • IowaRN:
    IA or Compact


    • KansasRN:
    KS or Compact


    • KentuckyRN:
    KY or Compact


    • MinnesotaRN:
    MN


    • NebraskaRN:
    NE or Compact


    • NevadaRN:
    NV


    • North DakotaRN:
    ND or Compact


    • OhioRN:
    OH or Compact


    • OregonRN:
    OR


    • TennesseeRN:
    TN or Compact


    • TexasRN:
    TX or Compact


    • UtahRN:
    UT or Compact


    • WashingtonRN:
    WA or Partial


    Required Minimum Knowledge, Skills, Abilities and Training

    • Manages and works closely with interdisciplinary partners in the management of identified patient populations. Oversees a mix of clinical, operational, and business activities related to that team.
    • Implements specific program goals including high priority case management redesign efforts required to improve performance.
    • Works closely with and in partnership with Community resource partners, Post Acute Care Providers, Acute Care Coordinators and other clinical staff who are focused on care coordination in order to ensure that patients' care and transition of care from acute care to post-acute and ambulatory care are seamless.
    • Assesses, reports, and communicates patient status on a periodic basis to all team stakeholders.
    • Excellent computer skills and ability to learn new systems.
    • Strong organizational (time management) and interpersonal skills.
    • Ability to handle multiple priorities with strong attention to detail.
    • Ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word.
    • Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost).
    • Ability to work autonomously within a matrix environment without direct supervision or support.

    Pay Range
    $ $42.08 /hour

    We are an equal opportunity/affirmative action employer.


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