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Southern Illinois Healthcare · Illinois, IL, United States
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Must be Registered Nurse or LPN in state of Illinois
Shift: 7:30a-4p, MON-FRI
Time Type: Full-Time
Facility/Clinic Name: Fully Remote
Responsible for serving as a patient advocate. Serves as a health coach to promote healthy lifestyle for patients within cohort. Partner with stakeholders to improve quality outcomes and measures.
Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality
Associates degree in nursing required.
Current LPN nursing license, pursuing RN;
Minimum of three-year experience in the use of Electronic Medical Record systems, EPIC preferred.
Strong background in ambulatory and/or inpatient acute care nursing
Ability to effectively communicate with physicians, care team members, and caregivers to maximize individual effectiveness.
Basic knowledge and experience using web-based meetings and communications, Excel, Word, PowerPoint, and other software applications.
Physical Activities
Uses nursing knowledge and expertise to drive care coordination efforts for patients with chronic diseases or other diagnoses related health management needs
Maintains multiple caseloads/deadlines independently and in a timely fashion while responding to quality and other outcome related measures.
Develops and maintains individualized care plans and goals for patients within a given cohort based on the identification of patient needs and proposed solutions.
Applies effective and therapeutic clinical coaching methods to promote patient engagement that fosters independence and self-management.
Communicates with Care Team members to coordinate care.
Maintains health coach or other care management training and/or certification.
Conducts concurrent medical record review using specific indicators and criteria selected for care gap reporting.
Actively works with patients and providers to close care gaps for value based contracts.
Develops and reports on hospitalization and other quality metrics including identification of problem areas and possible plans for improvement.
Assists with orders for laboratory and diagnostic testing as appropriate per department clinical guidelines.
Partners with Community Based programs to promote Population Health programs.
Works under the supervision of the Director of Clinical Operations - Population Health and indirectly with the Medical Director of Population Health
Details
| Company | Southern Illinois Healthcare |
| Location | Illinois, IL, United States |
| Type | FULL TIME |
| Niche | healthcare |