Patient Care Coordinator - RN

The Center for Family Health is a Federally Qualified Health Center located in Jackson Michigan. Our mission is: Opening the Doors to Healthcare for All. We provide primary healthcare and dental services regardless of an individual's ability to pay.

We currently have a Patient Care Coordinator/RN position open. This is an hourly, non-exempt full time position.

Position Summary:

All Patient Care Coordinators are assigned to a Patient Care Team that is committed to "Comprehensive Team-Based Care" to meet the needs of our patients and our community.

The Patient Care Coordinator is expected to work with a team in a whole person care approach that engages the patient in their health care and requires all team members to be effective and supportive communicators. A high degree of integration and collaboration is required to meet the varying and changing needs of our patients.

Essential Duties and Responsibilities:

• Utilizes clinical care guidelines to provide expert care to patients with chronic diseases by covering all five domains of the patient including social/behavioral, chronic, acute, preventative, and special care needs.
• Conducts intake interviews using standardized assessment tools and monitors progress of patients.
• Attend and participate in team huddles.
• Provides support and assessment of treatment compliance and provides crisis intervention as necessary to patients between visits and provides timely care as patient transitions from one setting to another.
• Uses health coaching strategies to develop, implement, and evaluate self-management strategies for patients as well as learning programs for patients and their families.
• Serves as a resource for staff by sharing skills and knowledge related to area of expertise.
• Works effectively in collaboration with multiple disciplines and community facilities/resources to provide innovative and evidence-based care while achieving high quality outcomes in a cost-efficient manner.
• Identifies and connects patients to community-based resources that will help to facilitate care.
• Completes necessary documentation in the eHR in a timely manner.
• Demonstrates leadership qualities and the ability to function independently working primarily with a high-risk population identified through PCP referral, risk stratification, and patient lists.
• Triage walk-in patients
• Conform with and abide by all regulations, policies, work practices and instructions.
• Assist with patient care as needed

Education/Training/Experience:

• Must be a licensed Registered Nurse in the State of Michigan.
• Experience in chronic care management and primary care is preferred.

The Center for Family Health is an Equal Opportunity Employer. All applicants have equal opportunities of employment irrespective of their race, color, religion, national origin, age, gender, gender identity, sexual orientation, marital status, physical or mental disability, genetic information, pregnancy, or protected veteran status, and any other legally protected class except when these factors constitute bona fide occupational qualifications.

Current Openings for Patient Care Coordinator RN Jobs at Center for Family Health