- Supports patients through the coordination of care for designated OBAT patients at specific assigned site/s or for specific substance abuse.
- Ensures the development of, and maintains constructive relationships between, OBAT case management staff and with staff from all interfacing departments.
- Works collaboratively with Medical Services, Nursing Department, Operations and Information Technology and other departments' leadership to implement all substance abuse elements.
- Utilizes ascribed processes for managing the needs of complex patients, initiating interventions based on physician approved patient-specific protocols and order sets (i.e. Suboxone and other substance abuse medications).
- Assesses progress toward goals based on clinical judgment, review of patients' self-monitory tools and trends in clinical data.
- Assists with the timely follow-up and coordination of care for patients discharged from a hospital or other healthcare organization in the continuum.
- Reviews, analysis and utilizes data and trends from relevant reports to determine if case management has improved patient status.
- Active Massachusetts Registered Nurse, RN license.
- Bachelor's degree in nursing.
- Bilingual in English & Spanish.
- Familiarity with computerized data management and research protocols.
- Sound analytical and computer skills.
- Prior experience in a Substance Abuse Program is strongly preferred.
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registered nurse, clinical care nurse coordinator - Lawrence, MA , USA, United States - Greater Lawrence Family Health Center
Description
Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley.
Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.
GLFHC is currently seeking a bilingual (English / Spanish) Hybrid Registered Nurse, Clinical Care Nurse Coordinator to join our Office Based Addiction Treatment (OBAT) team.
The OBAT Nurse Case Coordinator role will focus on organizing, planning and coordinating the delivery of care as provided by the healthcare team at the direction of the PCP.
She/he will manage and operationalize the integration of care in order to promote and improve health outcomes for the subset of OBAT patients; patients who often have a substance abuse disease.
She/he will focus on making the right care available to the patient at the right time.The incumbent will be proficient in understanding NCQA, JCA, and Meaningful Use requirements and will be knowledgeable in systems improvement concepts and usage.
Qualifications:
