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Ambulatory Care Coordinator RN

KYONE HEALTH PARTNERS LLC Lexington-Fayette, Kentucky
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The posted compensation range of $29.02 - $42.08 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-349981 Employment Type Full Time Department Population Health Management Hours/Pay Period 80 Shift Day Weekly Schedule 8:00am-5:00pm Remote Yes Category Case Management and Social Work
Overview

Job Summary / Purpose

The RN position is responsible for coordinating a wide range of self-management support and disease registry activities for entire populations. Collaboration with physicians, staff and other care team members to improve quality care and outcomes is essential to the multi-discipline approach needed to manage these populations.

Remote with light local travel


Responsibilities

Essential Key Job Responsibilities

  1. Works with “at risk” members and families self-management including:
  1. Setting short and long-term goals for self-management of chronic disease.
  2. Addressing medication adherence in patients not meeting outcome goals.
  3. Adherence to Evidence based protocols
  4. Working with members to create a plan for health behavior change by:
  1. Assessing and working on the patient’s readiness to change, the importance of change, and confidence in ability to change.
  2. Helping the patient to identify and overcome barriers.
  3. Refers for appropriate service.
  1. Performs individual needs assessment, care plan design, documentation and implementation, and evaluation of outcomes.
  2. Providing needed patient education regarding specific health care skills and general disease concepts.
  3. Facilitates collaboration, communication and coordination among all responsible parties of an individual’s multidisciplinary health care team striving to eliminate fragmentation, variation, duplication or gaps in care.
  1. Assessing and collaborating with clinic managers and directors for CIN practices on strategies to achieve individual clinic goals such as quality indicators and cost-efficiency.
  2. Understands and self-manages to support CIN-level success goals, including improvements in quality, cost of care and member experience for the CIN’s population.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.


Qualifications

Minimum Qualifications

Required Education and Experience 

Bachelor of Science in Nursing.

Required Licensure and Certifications

RN:KY or Compact

Required Minimum Knowledge, Skills, Abilities and Training

  • Three years of clinical, community, public health, case management, or health coaching experience.
  • Must have strong organizational and time management skills, strong interpersonal skills   and the ability to handle multiple priorities   
  • Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of Microsoft Excel, Word and Google platforms.
  • Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost) for individual users of health care and patient populations
  • Ability to work autonomously within a matrix environment without direct supervision or support.
  • Demonstrates a wide theory base and sound clinical skills to function as a nurse generalist.
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While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid time off, tuition assistance, adoption assistance, and more!

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their 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). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.