Chronic Care Management Coordinator RN in Oak Harbor, Washington at Whidbey General Hospital

The RN Chronic Care Management Coordinator is responsible for growth and maintenance of the care coordination program which includes oversight and management of patients enrolled in care management services; assurance of the completion of the annual wellness visit and follow up on all elements of the preventative plan of care; and completion of discussions of advance care planning with patients. These responsibilities will be completed by collaboration with intra and interdepartmental staff of the organization, outreach, disease management/care management, care coordination/health promotion, education/training and motivational support to patients, referral sources and the community. This position will work to improve the quality of life of patients enrolled through supporting quality outcomes, smooth care transitions, coordination of care across the health continuum, encourage healthy lifestyle choices to reduce long term effects of chronic illness. This position is accountable for working with and representing our clinics across multiple constituents and for the financial performance of the program.

JOB KNOWLEDGE & QUALIFICATIONS

Training and Experience

• A minimum of one-year recent clinical professional nursing experience is required; with 3-5 years recommended. Minimum of one-year recent home care experience preferred.
• Must be able to perform the essential functions of the job to serve patients of all ages.
• Knowledge/experience with Cross Tx CCM platform.

Education

• 3 years clinical experience including working with the geriatric population preferred.
• Previous work experience with educating patients and patient goal setting preferred.
• Previous work experience in an autonomous position.

Certificates, Licenses, Registrations

• Current licensure in the State of Washington as a Registered Nurse.
• BLS