Description
Description
Looking to use your nursing skills in more of an administrative capacity with full time hours, M-F, days in a healthcare system that makes the patients and YOU the #1 priority? Thompson Health is the place for you!
Main Function:
Work in conjunction with a care team to identify and proactively manage the care needs of high risk patients within the primary care practice setting
Provides assessment, care coordination, advocacy and coaching for identified patients that are at risk for hospital admissions or emergency room visits.
Uses established Finger Lakes Health System Agency (FLHSA) CMMI grant criteria to identify at-risk patients
Determines the drivers of risk in conjunction with the patient, family, physician and ancillary health care providers
Measures the impact of care coordination interventions, and regularly re-assesses the patient's risk for incurring adverse health outcomes
Required Job Specific Competencies:
Ability to develop and support a practice based care management model by providing on-site and telephonic services i. e. wellness, health coaching, self-management techniques, disease management and case management including coordination with community services per FLHSA standards
Identifies high risk patients needing care management services
Provides education, support and outreach to patients over the phone and in person ensuring all aspects of FLHSA programs are met for family practices
Interacts closely with clinical teams to identify care gaps and improve clinical outcomes for patients with chronic conditions such as diabetes
Active support for Thompson Practices quality programs, including PCMH and Diabetes Recognition Program
Scans the medical literature routinely for updates on clinical practice guidelines, new developments in the management of chronic diseases and communicates and disseminates information to staff
Complies with all required Joint Commission, state and federal regulations
Qualifications: (Licenses, Certifications)
Current New York State Registered Nurse license required
BLS certification
Proficient in the use of Electronic Medical Records (EMR);
Ability to create reports on own and interface with EMR vendor to develop reports where none currently exist
Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint)
Effective oral and written communication skills
Patient Centered Medical Home and Diabetes Recognition Program knowledge and experience a plus
Experience:
Preferred Experience: 3- 5 years of clinical nursing or social work experience, preferably with 3-5 years of community health experience, with the adult population
Electronic Medical Record experience required
Experience with database entry and reporting preferred
Care Management experience preferred
Education:
Valid NY state nursing license
A graduate of an approved school of nursing
BSN required
Position Pay Range: $70,000-88,000 per year
Starting Pay: Based on experience
Thompson Health is an EOE encouraging women, minorities, individuals with disabilities and veterans to apply
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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