Overview

Must live with in commute able distance to non- DH system Hospitals

Identifies opportunities for the D-H attributed patients in our risk contracts to improve the health and reduce cost for that patient population. Provides health screening, assesses social determinants of health, and participates in care management and transitional care management to improve clinical quality. Functions as a resource to patients and families, partners with primary care, and is a conduit to D-H payer contracts to provide comprehensive patient-family centric care with a focus on improving D-H status in risk contracts.

Responsibilities

Qualifications

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) and 3 years of clinical experience including 2 years of recent experience in ambulatory care or Care Coordination required.
• Excellent assessment, communication, interpersonal, and organizational/time management skills.
• Demonstrated ability to work well as a member of a team and respond calmly and effectively in a fast paced environment.
• Excellent verbal and written communication skills.
• Sound decision making, judgment, time management and negotiating skills.
• Familiarity with electronic medical records, and computer applications including MS Word and Excel.
• Must demonstrate passion for care of patients with chronic disease.
• Sound decision making, judgment, and negotiating skills.
• Knowledge of methods to educate and counsel patients, assess their readiness for changing health behaviors.

Required Licensure/Certifications

• Licensed Registered Nurse with New Hampshire eligibility.
• Basic Life Support (BLS) Certificate required.