What are the responsibilities and job description for the Nurse Care Coordinator - Chronic Disease position at High Country Community Health?
Description
Department: Clinical Services
Immediate Supervisor Title: Clinical Director
Job Summary: The Nurse Care Coordinator - Chronic Disease position provides
assistance to the physicians and support staff by coordinating care and services for
patients in order to maximize use of available resources and to offer complete
preventative care to those in need. Working within the Registered Nurse scope of
practice, and in concert with the Primary Care Provider, patient, caregivers, family
members, other members of the Care Management Team and the community to
coordinate a full continuum of health care services considering the holistic needs of the
member, inclusive of unique social and cultural dynamics. This position will collaborate
with Care Managers while instructing individuals and families in the community about
health education and disease prevention utilizing a team-based approach. The Chronic
Disease Care Coordinator will work to provide medical case management services to
eligible patients within the Federally Qualified Health Center (FQHC). This nursing
position works to address the needs of the population served by assessing, planning,
implementing, coordinating, monitoring, and evaluating the options and services required
and using communication and available resources to promote quality, cost-effective
health outcomes. In addition, this position will support HCCH goals and objectives in
meeting performance improvement targets for various initiatives, data analysis that
supports care management, standardized plan of care expectations, and patient team
development and perform other duties as assigned to support the development of the
network.
Requirements
Job Responsibilities and Role on Care Team: This position will provide services to
patients within the organization by following applicable guidelines and best practice care
models. This position will function as an integral member of an interdisciplinary team
which will include the following: medical provider, behavioral health clinician, clinical
pharmacist, supportive services staff, and additional departmental staff.
This position description should not be interpreted as all-inclusive. It is intended to
identify the major responsibilities and requirements of this position. The incumbent may
be requested to perform job-related responsibilities and tasks other than those stated in
this description.
Department: Clinical Services
Immediate Supervisor Title: Clinical Director
Job Summary: The Nurse Care Coordinator - Chronic Disease position provides
assistance to the physicians and support staff by coordinating care and services for
patients in order to maximize use of available resources and to offer complete
preventative care to those in need. Working within the Registered Nurse scope of
practice, and in concert with the Primary Care Provider, patient, caregivers, family
members, other members of the Care Management Team and the community to
coordinate a full continuum of health care services considering the holistic needs of the
member, inclusive of unique social and cultural dynamics. This position will collaborate
with Care Managers while instructing individuals and families in the community about
health education and disease prevention utilizing a team-based approach. The Chronic
Disease Care Coordinator will work to provide medical case management services to
eligible patients within the Federally Qualified Health Center (FQHC). This nursing
position works to address the needs of the population served by assessing, planning,
implementing, coordinating, monitoring, and evaluating the options and services required
and using communication and available resources to promote quality, cost-effective
health outcomes. In addition, this position will support HCCH goals and objectives in
meeting performance improvement targets for various initiatives, data analysis that
supports care management, standardized plan of care expectations, and patient team
development and perform other duties as assigned to support the development of the
network.
Requirements
Job Responsibilities and Role on Care Team: This position will provide services to
patients within the organization by following applicable guidelines and best practice care
models. This position will function as an integral member of an interdisciplinary team
which will include the following: medical provider, behavioral health clinician, clinical
pharmacist, supportive services staff, and additional departmental staff.
This position description should not be interpreted as all-inclusive. It is intended to
identify the major responsibilities and requirements of this position. The incumbent may
be requested to perform job-related responsibilities and tasks other than those stated in
this description.
