Description
GENERAL SUMMARY/ OVERVIEW STATEMENT:
BWH & BWFH Primary Care Practices
Shift: 20hr variable day shift
Brigham and Women's Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
Position Summary
Working closely with high risk patients, the Ambulatory RN Care Coordinator is responsible for establishing, implementing, monitoring, and evaluating high quality cost effective care plans. The Ambulatory RNCC collaborates with practice Physicians and Program leadership, strategizing about optimal and efficient patient care plans and approaches. The Ambulatory RNCC remains knowledgeable about performance targets established via the Program Leadership Team and strives to achieve these goals. This position requires a broad knowledge of clinical care and systems' management, case management expertise, prudent nursing judgment, health care re-imbursement, sound problem solving skills, independent thinking, excellent organizational and interpersonal skills, creativity, flexibility, and the ability to multi-task. This position is located at the BWH and Faulkner Primary Care Practices. Candidate will be part of a high functioning ambulatory care management team.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Performs program specific patient outreach, education, and recruitment.
Consults with patients' physicians and / or Medical Directors about high priority patients and potential care management plans.
Initiates telephone or in person contact with eligible patients to perform initial assessment, healthcare education, and develop a realistic care management plan.
Incorporates knowledge of case management, levels of care, and utilization management principles to implement high quality cost effective care plans.
Utilizes excellent interpersonal skills when communicating with patients, families, and physicians in order to develop rapport, build trust, and engage patients in health promotion activities.
Influences utilization of health care resources by providing direct care coordination to patients, encouraging enrollment in disease and case management programs, providing care coordination intervention and follow-up prior to and after interaction with health care system, e.g., inpatient, ED visit, outpatient services, etc...
Using medical management criteria or other diagnostic screening criteria, determines appropriateness of hospital admissions and disease management programs. As indicated, provides direct and ongoing care management to select patients and / or refers to existing care management programs: insurance-based specialty case management programs, BWPO Disease Management programs, Partners HealthCare Disease Management programs, etc...
Communicates with other health care clinicians throughout the continuum about patient's care, utilization, and follow up plans, e.g., ED Care Facilitators, inpatient Care Coordinators, post acute case managers, social workers, pharmacists, etc...
Establishes a consistent communication and reporting schedule for periodic contact with providers and patients to review patient status and progress toward goals.
Notifies Nursing Director, PCP, and/or Medical Director about (over/under) utilization of services and patient's compliance with program.
Collaborates with PCP, and/or Medical Director, re., challenging patient situations.
Acts as clinical resource person for program's quality efforts.
Attends and presents case reviews at practice meetings, program meetings, and care coordination meetings.
Utilizes care management systems to document, monitor, and evaluate patient interventions and care plans.
Keeps current with related trends in care management, including health education and coaching.
Participates in regular meetings with the Nursing Director and Medical Director to review performance, patient volume, projects, outside professional activities, and upcoming goals to achieve.
ORGANIZATIONAL RESPONSIBILITIES:
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Demonstrates a positive attitude in dealing with problems or crisis situations.
Is aware of and follows BWH policies and procedures for general safety, fire safety, parking, proper body mechanics, infection control, attendance, punctuality, and appearance.
Works effectively with team members.
Demonstrates initiative and creativity to continuously improve services, processes, and other activities that affect quality and utilization.
Performs all duties in an independent, professional manner and requests assistance when necessary.
Work reflects excellent organizational skills.
Willingness to be flexible in situations. Performs duties of lesser, equal, or greater responsibility as requested.
OTHER DUTIES AND RESPONSIBILITIES:
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Assumes accountability for professional growth and development.
Exemplifies program teachings and acts as a role model for patients by practicing behaviors consistent with goals of the program.
Assists in preparation for Joint Commission, CMS, and other surveys as applicable to role
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/MGB.
Follows safe practices required for the position.
Complies with appropriate BWH and MGB policies and procedures.
Fulfills any training required by BWH and/or MGB, as appropriate.
Brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.
Qualifications
QUALIFICATIONS:
Education:
Experience:
Three to five years of acute care experience in a hospital setting preferred.
Three to five years of case management experience preferred.
Experience working in a post acute setting such as L-TAC, rehab, skilled nursing facility, or homecare preferred.
Ambulatory experience working in a health center or physician's office preferred.
Working knowledge of Epic Complex Care Manager application and BWH integrated Care Management Program (iCMP) preferred.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Excellent organizational and communication skills.
Excellent oral, written, and telephonic skills and abilities.
Superior inter-personal skills.
Strong competency working with hospital computer systems and case management systems.
Competent using Microsoft word, powerpoint, and excel.
Ability to work well with physicians and ambulatory staff in a practice or health center setting.
Demonstrated ability to present and speak in front of groups.
Knowledge and skills to differentiate levels of care.
Ability to handle routine work, unexpected priorities, and multi-task.
Flexible about changing practice sites as patient needs indicate, helping colleagues at other practices and covering during vacations/unexpected illness/holiday time.
Works in a busy and, at times, stressful office or health center environment. Must be autonomous, industrious, and work well in a multi-disciplinary group. Flexibility is required. Must be a team player, prepared to cover for colleagues as needed. Some travel to hospital, post acute settings, other offices, and patient homes (infrequently).
EEO Statement
Brigham and Women's Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Primary Location
:
MA-Boston-BWH Boston Main Campus
Work Locations
:
BWH Boston Main Campus
75 Francis St
Boston
02115
Job
:
Registered Nurse
Organization
:
Brigham & Women's Hospital(BWH)
Schedule
:
Part-time
Standard Hours
:
20
Shift
:
Day Job
Posted Shift Description
:
Part time 20 hour position.
Employee Status
:
Regular
Recruiting Department
:
Brigham & Women's Hospital
Job Posting
:
Nov 5, 2024
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Brigham and Women's Hospital
Nov 06, 2024