Position Overview: The RN Clinical Care Coordinator coordinates and provides clinical case management services to high-risk patients within the Behavioral Health Community Partner (BHCP) program and ensures coordinated care and access to Behavioral Health services. The RN Care Coordinator participates in problem-solving by working as a closely integrated member of the Multidisciplinary Care Team within and across the Health Center. Additionally, the RN Clinical Care Coordinator performs Medication Reconciliations for all patients who have a completed a Comprehensive Health Assessment.

Duties:

• Approves all Comprehensive Risk Assessments.

• Provides clinical support to other programs and departments as appropriate.

• Works closely with providers to ensure assigned patients engage in primary care.

• Uses the stages of change model with patients to guide patients.

Minimum Basic Knowledge: Licensed Registered Nurse in Massachusetts

Experience & Qualifications:

• Two years of nursing experience, preferably in an ambulatory care or community health setting preferred.
• Experience with case management and care coordination.
• Experience with EMR and related care management registries, databases and Information Technology/Computer Systems.
• Demonstrated ability to work as an integrated member of a Multidisciplinary Care Team.
• Excellent communication and clinical judgment skills.
• Ability to follow and adhere to care model’s operating procedures and standards.
• Experience in a culturally diverse setting.
• Bilingual language skills in English/Spanish, Portuguese or Vietnamese preferred.

New or recently graduated nurses are encouraged to apply!

Independent Action:

• Functions independently within scope of nursing practice, the Primary Care Payment Reform Initiative’s requirements and health center policies and goals.
• Refers specific problems to supervisor when clarification of operating policies or procedures is required.
• Completes outreach for patients who are inpatient or who have utilized the Emergency Room

Supervisory Responsibility:
There are no supervisory responsibilities.

Define Access Level to PHI:

Level 4 [Authorized to access full health information. UCHC position and job responsibilities involve the provision of patient care and working as a clinical team member. Staff in this category level, although allowed full access, should only access the necessary information for each respective treatment encounter/circumstance].

Job Types: Full-time, Part-time

Pay: $25.00 - $60.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Geriatrics
• Home Health
• Pain Medicine
• Primary Care
• Public Health
• Urgent Care
• Wound Care

Physical setting:

• Ambulatory surgery center
• Clinic
• Community health center
• Long term care

Supplemental pay types:

• Differential pay

Weekly schedule:

• Monday to Friday

License/Certification:

• MA RN license (Required)

Work Location: In person