Reports to the Manager, Director or Executive Director . Coordinates and manages outcomes of a specific patient population to facilitate achievement of quality, service, and cost. Ensures smooth transitioning of care from inpatient setting to post-care settings, community services, or physician offices. Works collaboratively with other Care Coordinators and interdisciplinary staff, internal and external to the organization. Prepares summaries, reports, and profiles. Identifies and evaluates patient and family educational needs, provides assistance and support for patients and families. Establishes and facilitates effective relationships with physicians, staff, patients and families.
MISSION & VISION
Mission: To enhance the physical, mental and emotional well-being of the communities we serve as the community's provider of outstanding quality, superior value and comprehensive health care services.
Vision: Our vision is to achieve:
Innovative health care and well-being services of the highest quality at the greatest value
Easy access and convenience
Outstanding patient experiences
Ongoing education involving physicians, patients and the community
JOB SPECIFICATIONS
Education and Experience
The level of knowledge, skills and abilities indicated below are normally acquired through the successful completion of a Baccalaureate Degree in Nursing or related area. A Master's degree is preferred. Current RN license in the State of Indiana, minimum three years related clinical experience and experience in educating and managing various chronic illnesses.
Knowledge & Skills
Requires thorough knowledge of clinical care practices, procedures and techniques required to meet targeted patient population.
Requires comprehensive knowledge of chronic disease states and managing illness.
Requires working knowledge of research methodology.
Demonstrates effective analytical and problem-solving skills.
Demonstrates proficiency in nursing assessment skills.
Demonstrates clear, effective communication skills, including verbal, written, and listening skills.
Demonstrates well developed interpersonal skills necessary to promote and maintain cooperative, courteous, and sincere relationships with patients, family members, physicians, staff, and the public.
Requires ability to independently prioritize and organize work activities and work effectively under pressure.
Requires ability to identify and utilize appropriate resources. Demonstrates computer literacy and the ability to effectively use word processing, spreadsheet, and electronic health record and presentation software.
Working Conditions
Works in various environments including patient care areas with frequent changes in job demands.
Physical Demands
Requires the physical ability and stamina to perform the essential functions of the position.
Travel required
Clear communication and speaking voice for telephone speaking required.