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RN Care Coordinator

Overview
This position will be located at the Monticello Family Practice. This position is posted as Part-Time working 24 hours per week between Monday - Friday. The positoin hours could possibly increase with clinic needs.
A Care Coordinator Registered Nurse works in an ambulatory care clinic, participating in a multidisciplinary team as part of the Patient Centered Medical Home.
Responsibilities
Key Responsibilities:
Care Coordination
Coordinate and facilitate patient centered interdisciplinary care and communication, including home health and referring physicians' around interventions leading to the best outcome.
Provide regular and consistent follow-up during transitions of care with patient, coordinators and other healthcare professionals in other care settings; including Care Navigators and Patient Care Facilitators.
Demonstrates competence in the skills necessary to carry out assigned duties.
Education
Coach and educate designated patient population and family regarding chronic disease self-management and preventative health maintenance using predefined protocols and evidence based medicine.
Work with patients and families to develop and work towards self-management goals through RN only visits.
Empower patients and families through education and a trusting relationship to utilize healthcare resources appropriately minimizing unnecessary utilization.
Provide consolidated information regarding internal and external resources and services including home health
Disease Management
Support provider in meeting chronic and preventive health care needs by guiding patients in collaborative self-management.
Proactively assist providers and other healthcare team members as patient advocate, ensuring progress toward goal attainment.
Population Health
Utilize patient registry tools to guide action plan for designated patient populations.
Identify high-risk patients and intervene with the guidance of the provider to improve outcomes.
Leadership
Demonstrate clinical leadership as a role model for other staff and provide direction that ensures top of licensure duties for all team members.
Utilize critical thinking in making independent judgments related to patient care. Maintain responsibility and accountability for the knowledge of conditions of assigned patient populations.
Engage in process improvement work
Qualifications
Qualifications Required:
Graduate of an accredited program for Registered Nurses.
Current license to practice nursing in the state where care is provided.
BLS and Mandatory Reporter certification.
Achieve and maintain certification in Integrated Chronic Care Disease Management within 6 months of hire.
Meets educational/competency requirements per policy.
Qualifications Preferred:
Bachelors of Science in Nursing (BSN)
Previous clinical experience in a medical office.
Previous process improvement experience.
Previous experience in Care Coordination.
Professional Qualities and Attributes:
Demonstrate flexibility and adaptability, priority setting, problem solving, conflict resolution, decision-making, work delegation and organization.
Must be highly motivated and self-directed.
Must be able to communicate effectively with people of diverse professional, educational and lifestyle backgrounds.
Ability to understand and apply protocols, policies and procedures.
Ability to work independently and assume responsibility for timely completion of assigned functions.
Strong computer skills, interpersonal skills, clinical proficiency and ability to work as part of a multi-disciplinary team.
Information about Jones Regional Medical Center - Anamosa, IA
Jones Regional Medical Center has been named 5th fastest growing hospital in the US by Modern Healthcare
Overview
All private rooms
Three major trauma rooms with an additional four exam rooms
State-of-the-art equipment and lighting
Easy navigation for patients to be evaluated and treated in the ED
Radiology/laboratory services located next to ED for easy testing access
5500+ volume Monthly
24/7 RT, Lab, ER and Radiology
Daytime offerings - Therapy, Wound, Social Services, Counseling, Rehabilitation
Great place to have a rural quality of life but have access to larger cities (30-minutes to Cedar Rapids and 45-minutes to Iowa City)
http://www.unitypoint.org/anamosa/default.aspx
Choose Jones County
Jones County, located in the heart of Eastern Iowa along Highway 151, is central to major U.S. markets. Within five hours of Chicago, Minneapolis, St. Louis, Madison, and Omaha with easy access to the crossroads of America, Interstates 80 and 35.
Living in Jones County
Easy highway access to major shopping/entertainment in Cedar Rapids
Just 45 minutes from Iowa City
Growing trail system for walking and biking
Museums including the National Motorcycle Museum and the Anamosa State Penitentiary Museum
State and local parks for camping and recreation
Two new aqua parks
Numerous golf courses
Home of the Jones County Fair the 3rd largest county fair in the state of Iowa.



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