RN Ambulatory Care Coordinator at Loyola in Maywood, Illinois

Posted in Other 3 days ago.

Job Description:

Employment Type:

Full time


Provides care coordination services to high risk individuals to improve the quality of care, mitigate cost trends, and improve patient and physician satisfaction. Utilizes evidence based guidelines to collaborate with physicians, patients and families to create a patient centered plan of care. Collaborates with the interdisciplinary team to promote a holistic approach to addressing clinical, psychosocial and financial barriers.
1. Utilizes risk stratification tools and pertinent clinical information to prioritize individuals in need of care coordination. Conducts comprehensive face to face and telephonic assessments of clinical, psychosocial and financial risks to develop a Plan of care, facilitate safe transitions and coordinate care across the care continuum.

2. Utilizes motivational interviewing techniques as part of the clinical assessment process to understand a patient's perception of their condition and Identify barriers negatively impacting their health outcomes. Collaborates with patient and family to address identified barriers. Works towards increasing individual's self-efficiency in managing their condition.

3. Coordinates care to include referral management between patient, provider, and specialist and associated facilities. Collaborates with health team to ensure care is rendered at the right time in the right setting.

4. Participates in quality improvement measurement, and data collection to include populations with clinical and financial risk. Identifies and works with individuals and providers to close gaps in care. Facilitates self management skills.

Position Requirements

  • Required: Bachelors Degree

  • Preferred: Masters Degree OR equivalent training acquired via work experience or education

  • 3-5 years of previous job-related experience

  • 6-10 years of previous job-related experience

  • Epic Preferred

  • Basic keyboarding Skills

  • Microsoft Office

  • RN License State of Illinois

  • Case management experience preferred

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.