Registered Nurse Care Coordinator - Yakima or Grandview
Registered Nurse Care Coordinator - Yakima or Grandview
Salary: $66,444 to $92,762.29 (14-step pay plan)
Benefits: WA State PEBB Health/Dental/Vision (most plans 100% employer-paid for Individual Employee), PERS 2 or PERS 3 State Retirement, DRS Deferred Compensation Plan, Employer-contributed Health Reimbursement Account (HRA-VEBA), EAP, Progressive PTO Plan, Paid Holidays, Flexible Schedule Options.
Location: Successful candidate can choose to be based out of our Yakima or new Grandview office locations depending on preference.
Closes: February 15th, 2023 at 12:00pm
SUMMARY: Provides support for designated clients which includes coordinating an array of services designed to improve the health of high needs, high risk clients. Care coordination responsibilities will include assessment, care planning and monitoring of client status, and implementation and coordination of services. Provides support to clients for effective care transitions, improved self-management skills and enhanced client-provider communication. Will facilitate interdisciplinary consultation, collaboration and care continuity across care settings. This position will not involve providing direct care or treatment.
MINIMUM QUALIFICATIONS: • Graduate of an accredited school of nursing. • Current and unencumbered license to practice as a Registered Nurse in the State of Washington. • Maintain CEU’s for license to practice as a Registered Nurse in the State of Washington. • Possession of a valid driver’s license and minimum state-required vehicle insurance and have use of reliable transportation. • Successful completion of criminal background check
PREFERRED QUALIFICATIONS: • Two years(2) nursing experience, including one year direct patient care in a community setting. • Home health and psychiatric nursing background preferred but not required. • Training in Coleman CTI or other coaching modality is desired. • Experience working on cross disciplinary, cross-organizational teams. • Experience meeting and working with people in homes and other medical and community settings. • Experience using motivational interviewing or other empowerment-based approaches is desired.
JOB DUTIES: • Coordinates follow-up activities and referrals with other programs including the Family Caregiver Support Program and ALTC/HCS/DDA Medicaid Case Management. • Identifies and addresses barriers to overcome and impediments to accessing health care and social services. • Engages clients in care coordination activities designed to promote improved utilization of health care services, including the creation and ongoing maintenance of a patient-centered, goal oriented Health Action Plan. • Assesses activation level for self-care through use of the Patient Activation Measure® (PAM®). • Provides evidence-based health assessments and screenings such as; BMI, PHQ-9, Katz ADL, PSC-17, GAD-7, AUDIT or DAST. • Provides transition support services that coaches the client to build confidence and competence in four conceptual areas, or “pillars”: medication self-management, use of a patient-centered health record, primary care and specialist follow-up, and knowledge of red flags of their condition and how to respond. • Works with supervisors and other health care providers, hospital discharge planners, skilled nursing facility staff, and staff at the client’s health home to implement services and analyze the disposition of cases. • Performs facility visits, home visits, and follow up telephone calls to develop critical coaching relationships, to empower clients to take an active and informed role in their discharge planning. • Coordinates and communicates regarding the client’s post-discharge status with all involved health care providers including, but not limited to: primary care, mental health, specialty care, and pharmacy. • Provides referrals and advocacy for clients and their caregivers to community based services and supports which includes family caregiver programs, nutrition programs, in-home care and case management. • Provides teaching about self-management of the client’s chronic health condition and provides resource links to ongoing chronic disease self-management support services.
ALTC is an Equal Opportunity Employer