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Must be Registered Nurse or LPN in state of Illinois
Location: State of Illinois
Shift: 7:30a-4p, MON-FRI
Time Type: Full-Time
Facility/Clinic Name: Fully Remote
Position Summary
- Responsible for serving as a patient advocate. Enhances a collaborative relationship with the patient, family and clinician. Serves as a health coach to promote healthy lifestyle for patients within cohort. Partner with stakeholders to improve quality outcomes and measures.
Principal Accountabilities
- Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality
Education
- Associates degree in nursing required.
Licenses and Certification
- Current LPN nursing license, pursuing RN;
- RN strongly preferred
Experience and Skills
- Technical: Minimum of three-year experience in the use of Electronic Medical Record systems, EPIC preferred.
- Strong background in ambulatory and/or inpatient acute care nursing
- Ability to effectively communicate with physicians, care team members, and caregivers to maximize individual effectiveness.
- Clinical acumen to support and understand disease progression and common associated interventions
- Basic knowledge and experience using web-based meetings and communications, Excel, Word, PowerPoint, and other software applications.
- Experience working in a remote setting preferred.
Physical Activities
- Intermittent hand manipulation required
- Intermittent lifting and carrying of 20 lbs
Role Specific Responsibilities
- Uses nursing knowledge and expertise to drive care coordination efforts for patients with chronic diseases or other diagnoses related health management needs
- Maintains multiple caseloads/deadlines independently and in a timely fashion while responding to quality and other outcome related measures.
- Develops and maintains individualized care plans and goals for patients within a given cohort based on the identification of patient needs and proposed solutions.
- Applies effective and therapeutic clinical coaching methods to promote patient engagement that fosters independence and self-management.
- Communicates with Care Team members to coordinate care.
- Maintains health coach or other care management training and/or certification.
- Conducts concurrent medical record review using specific indicators and criteria selected for care gap reporting.
- Actively works with patients and providers to close care gaps for value based contracts.
- Develops and reports on hospitalization and other quality metrics including identification of problem areas and possible plans for improvement.
- Assists with orders for laboratory and diagnostic testing as appropriate per department clinical guidelines.
- Participates in department huddles, meetings and other meetings as appropriate.
- Partners with Community Based programs to promote Population Health programs.
- Works under the supervision of the Director of Clinical Operations - Population Health and indirectly with the Medical Director of Population Health
Compensation (Commensurate with experience):
$27.69
To
$42.92
To access our Benefits Guide/Plan Information, please click the link below:
http://www.sih.net/careers/benefits
