RN Care Coordinator – Transitional Care Management

Posted:
9/27/2024, 9:20:20 AM

Location(s):
West Virginia, United States

Experience Level(s):
Junior

Field(s):
Medical, Clinical & Veterinary

Workplace Type:
Remote

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

RN Care Coordinator – Transitional Care Management

                        

Location

Cleveland

                    

Facility

Remote Location

                     

Department

Solon Internal Medicine-Regional Operations

                      

Job Code

T99128

                     

Shift

Variable

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.    


As an RN Care Coordinator for the West Region Transitional Care Management Hub, you will work collaboratively with multidisciplinary care team staff across the continuum of care for high-risk patients. The Care Coordinator provides coordination of care and disease management longitudinally to patients with chronic condition(s) or episodic care of a surgical population and focuses efforts on patient outreach and coordination of care for a panel of patients to achieve optimal outcomes and promote wellness, decreasing preventable ED visits and readmissions while improving patient satisfaction. 


A caregiver in this position works 8:00AM – 5:00PM 


A caregiver who excels in this role will:  

  • Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes. 

  • Provide care and disease management coordination.  

  • Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.  

  • Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.  

  • Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care.  

  • Serve as a liaison and advocate for patients and families.  

  • Assist in managing transitions of care across care settings, ensuring optimal communication and planning.  

  • Identify barriers, facilitate solutions, and connect others to community resources.  


Minimum qualifications for the ideal future caregiver include:  

  • Graduate from an accredited school of professional nursing.  

  • Current state licensure as a Registered Nurse (RN).  

  • Basic Life Support (BLS) certification through the American Heart Association (AHA). 

  • Three to five years of nursing experience.  


Preferred qualifications for the ideal future caregiver include: 

  • Bachelor of science in nursing (BSN).  

  • Specialty certification.  


Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/  

Physical Requirements:

  • Requires full range of motion, manual and finger dexterity and eye-hand coordination.

  • Requires corrected hearing and vision to normal range.

  • May requires some exposure to communicable diseases or bodily fluids.

  • Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures. 

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities