Nurse Care Coordinator

Job Description

We are hiring at Starling Physicians, a VillageMD company!

• Outreach and engage patients whom are high risk, post-discharge, and/or requiring additional care management support, ensuring they have Primary Care Provider (PCP) follow up appointments scheduled and all care gaps are closed
• Collaborate with care team members and external vendors to support patient care (ie: receipt of durable medical equipment (DME) and home health services
• Request medical records from a variety of physicians and healthcare systems enabling the continuity of care for both PCPs and members of the interdisciplinary care team
• Outreach, screen and escalate patients to nursing and social work team members based on the unique needs of patients
• Assist nursing and social work team members with patient follow up, proving tools and resources at their direction
• Monitor stable patient populations at the direction of nursing and social work team members
• Address open care gaps with patients through collaborative relationships with patients, ensuring supporting adequate documentation is available with the patient’s medical record
• Coordinate with local community resources as needed to support both the physical and psychosocial needs of patients
• Collaborate with multi-disciplinary team members to provide best in class patient care and improved outcomes
• Participate in special initiatives at the direction of market leaders

Skills for success

• Achieving objectives by effectively managing multiple tasks at one time
• Maintaining an organized and systematic workflow that results in goals being met
• Flexibility in an ambiguous and dynamic environment, maintaining a positive and “can do” attitude
• A passion for changing the way healthcare is experienced for complex and/or disadvantaged patients and communities
• Demonstrated strength-based approach to collaborative problem solving
• Effective engagement of diverse populations (age, ethnic groups, socio-economic levels, etc.) with exhibited cultural sensitivity
• A willingness to learn on your own and take initiative
• Demonstrated honesty and following through on commitments
• The ability to problem-solve on the spot and identify issues that need escalated
• A low ego and humility; an ability to gain trust through good communication

Experience to drive change

• 3+ years of experience in a medical office or health care setting
• 2+ years working as a, Licensed Practical Nurse LPN or RN
• Comfort with technology including the Microsoft suite of products
• Prior experience using electronic health record including data capture, data mining and reporting .

Job Type: Full-time

Pay: From $72,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Hospice
• Outpatient

Ability to Relocate:

• New Britain, CT 06051: Relocate before starting work (Required)

Work Location: In person