Health Coach Navigator, LPN/RN - Van Diest Family Health Clinic (Webster City), Full Time Day Shift

Performs primarily clerical functions related to the proactive care for patients. Conducts outreach to patients who need care services (care repair) utilizing care guidelines and standing orders to schedule recommended services for disease management patients. Is an integral member of the Van Diest Family Health Clinic team who works to ensure safety, best practice and high quality standards of care are maintained.

• Provides oversight of the disease registry database including:
  a) Assuring database is maintained and kept up-to-date
  b) Creating patient, physician and clinic level quality performance reports
• Provides proactive outreach to patients including:
  a) Identifying patients overdue for visits, labs, referrals and arranging for follow-up services as appropriate.
  b) Identifying patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.
• Provides oversight of pre-visit chart review of patients including:
  a) Providing disease registry visit manager form prior to patient office visits so the appropriate clinic staff can identify and address any gaps in care during the office visit.
• Assists with Coordination of Care across the care continuum including:
  a) Assisting the RN Health Coach by making needed appointments or referrals such as to community resources, specialty providers, or disease specific educators.
• Conducts data abstraction from various electronic systems
  a) Assists with Medicare Advantage Star programs as well as other incentive programs

Participates in QI Activities
a) Participates in QI activities
b) Meets on a regular basis with the Care Management Team, as coordinated by Van Diest Medical Center, for information sharing and continuing education activities

36 hours per week (.9 FTE)

• LPN or RN required
• Clinic/Physician office experience preferred
• Enjoys working with people, assisting in addressing their needs, and being a partner in achieving optimal health
• Demonstrates competent computer skills including web-based navigation, email and MS Office
• Demonstrates familiarity with local demographics, geography and community
• Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills
• Certification of Healthcare Coach or obtained within one year of hire
• Basic Life Support (BLS) for the Healthcare Provider certified or obtained by the end of the orientation period
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire

Apply online at www.vandiestmc.org under "Careers" link at bottom of page.

Questions? Please contact Human Resources at (515) 832-7711.