Lead RN - Care Coordinator

Company: Community Clinic Inc.
Location: Takoma Park
Posted on: March 19, 2023

Job Description:

CCI Health Services -is a 50-year-old -Federally Qualified Health Center -is a diverse and inclusive workplace that serves 60,000 medical patients and Women Infant's & Children (WIC) participants in Montgomery and Prince George's Counties. As a -501(c)3 non-profit, -CCI -is committed to providing high-quality, affordable primary healthcare to every patient across all life stages. Visit - -for more information.We are an approved FQHC for the Nurse Corps Loan Repayment Program (with an HRSA score of 19).**Nurse Corps Loan Repayment Program recognizes CCI Health Services as an approved FQHC participant. Learn more: -We offer full medical, dental and vision coverage, short and long term disability insurance, life insurance, and a 403(b) retirement plan (with an employer contribution of up to 4% of salary). We also offer license reimbursement and an annual CME allowance.Our providers are insured for malpractice under the Federal Tort Claims Act. -POSITION SUMMARY:The -Lead Registered Nurse Care Coordinator, under the direction of the Registered Nurse Manager, has primary responsibilities for monitoring and ensuring implementation procedures at the health center in addition to care management activities for a site-specific patient panel at -CCI Health Services. The -Lead Registered Nurse Care Coordinator -helps to maintain a culture that fosters patient empowerment, teamwork, and the delivery of high-quality, evidence-based care. The -Lead Registered Nurse Care Coordinator -will work with the Health Center Medical Director and Health Center Manager as part of the Triad Team to develop this position to best serve the needs of the patient panel. This includes the development and maintenance of policies, procedures, formal agreements for referrals, partnerships with agencies that issue grants, the state and county health departments, program evaluation, and quality improvement. The roles of the -Lead Registered Nurse Care Coordinator -include but are not limited to leading the daily workflow and serving as an integral member of the clinical primary care team, identifying high-acuity patients to monitor within the Care Management Program fostering the Patient-Centered Medical Home, and leadership and administrative tasks. Through identifying goals and needs, the -Lead Registered Nurse Care Coordinator -will formulate a plan to coordinate care, services, and resources for the designated patient panel to facilitate improved health outcomes.As a member of the health center's integrated care team, the Lead RNCC fulfills the following -KEY FUNCTIONS AND RESPONSIBILITIES -for the provision of:

• Serving as lead for the nursing department at their site as part of the Triad team
• Leads by example to provide Center-wide high-quality care that is patient-centered and meets CCI Health Services' established standards.
• Facilitates huddles every morning according to the designated template.
• Participates in Triad Meetings with Health Center Manager and Health Center Medical Director; identifies items or issues requiring further resolution. Attends other site-related meetings, nurse meetings, and leadership meetings as requested.
• Regularly conducts site-level Quality Improvement staff meetings to discuss issues and corrective measures to meet goals.
• Participates in Performance Improvement activities as needed. Assists with analysis of quality improvement data for the primary care team and helps identify ways to improve care using Relevant tools. Assists with collecting needed data and generates reports as assigned.
• Prepares and leads team huddles, identifying patients presenting with complex medical problems (who may need additional assistance such as care management or other), assisting the provider-MA teams in the provision of quality comprehensive patient care, and promoting an interdisciplinary approach to care.
• Helps develop policies and procedures.
• Assists with new employee training and ongoing training for other team members including Medical Assistants.
• Actively managing assigned Care Management panel of high acuity, chronically ill, and medically complex patients.
• Development of pre-visit planning workflow, to ensure the efficiency of care, prior to visit whenever possible.
• Delivers care in accordance with CCI guidelines and scope of training as a Registered Nurse to clients/patients from infancy to geriatrics.
• Oversees Licensed Practical Nurses in accordance with CCI guidelines and scope of training as an LPN to clients/patients from infancy to geriatrics.
• Provides quality customer service at all times; communicates effectively with patients in a manner that protects their confidentiality, and is sensitive to their culture, and physical, emotional, and spiritual needs.
• Documents accurately and comprehensively, based on the standards of practice and current organization policies.
• Triages patients on the phone and as walk-in patients; consults with a provider for an appropriate plan of care as needed.
• Provides point-of-care testing, such as urinalysis or pregnancy tests, etc., to aid in diagnosis and treatment; other services include, but are not limited to vaccination of clients, delivery of treatment to severe asthmatic patients, administration of medications including injections as ordered by the provider, care of patients who have or, are exposed to communicable diseases such as tuberculosis, HIV or AIDS.
• Counsel patients on the use, benefits, risks, and potential side and adverse effects of any medications prescribed.
• Assists with tracking and reviewing lab results; executes provider's orders in a timely manner as directed, after reviewing of results by the medical provider.
• Upon order from a medical provider, implements standing prescriptive orders for patients.
• Review after-visit summaries with patients whenever appropriate. Provides follow-up contact with the patient as indicated to ensure compliance with recommendations - medications, lab/x-ray, specialist visits, Primary Care Provider (PCP) visits, dieticians, Certified Diabetic Educator, other consults, etc.
• Acts as liaison to hospitals, MCOs, and other community-based services to coordinate care for CCI. patients and to develop and strengthen collaborative relationships at the organizational level.
• Completes coverage assignments as requested.MINIMUM QUALIFICATIONS:
  • Bachelor of Science in Nursing, and RN licensure in the state of Maryland.
  • Current BLS/CPR certification required.
  • Written and oral fluency in English and Spanish is preferable.
  • Computer skills are required, and knowledge/experience with Electronic Medical Records (EMR) is a plus.
  • Minimum of three (3) years of Registered Nursing practice, including 1 year as a patient care coordinator
  • Experience in the provision of Primary Care to medically underserved populations is highly desirable
  • Ability to organize, solve problems, multi-task, and work well in a high-pressure atmosphere. -CCI Health Services is a 49-year-old Federally Qualified Health Center is a diverse and inclusive workplace that serves 60,000 medical patients and Women Infant's & Children (WIC) participants in Montgomery and Prince George's Counties. As a 501(c)3 non-profit, CCI is committed to providing high-quality, affordable primary healthcare to every patient across all life stages. Visit www.cciweb.org for more information. -CCI Health Services is a 49-year-old Federally Qualified Health Center is a diverse and inclusive workplace that serves 60,000 medical patients and Women Infant's & Children (WIC) participants in Montgomery and Prince George's Counties. As a 501(c)3 non-profit, CCI is committed to providing high-quality, affordable primary healthcare to every patient across all life stages. Visit www.cciweb.org for more information.Powered by JazzHR

Keywords: Community Clinic Inc., Washington DC , Lead RN - Care Coordinator, Healthcare , Takoma Park, DC