The posting
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The incumbent collaborates with patients and primary care providers to ensure patients receive quality, efficient, and cost-effective healthcare services. Coordinates, monitors, and evaluates all options and services to optimize a patient’s health status.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associate’s Degree in Nursing AND Five (5) years of clinical experience in a healthcare setting OR;
Bachelor of Science in Nursing AND Three (3) years of clinical experience in a healthcare setting.
2. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
EXPERIENCE:
1. Five (5) years in a leadership role.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor of Science in Nursing (BSN).
EXPERIENCE:
1. Prior care coordination experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Participates in outreach activities in the community in order to educate and/or promote good relationships.
2. Communicates and collaborates with inpatient and outpatient case management to implement the discharge plan and coordinate a safe transition to the next level of care.
3. Uses data to drive decisions and plan/implement performance improvement strategies for assigned patients, including fiscal, clinical and patient satisfaction data.
4. Continuously evaluates laboratory results, diagnostic tests, utilization patterns and other metrics to monitor quality and efficiency results for assigned population.
5. Participates in development, implementation, evaluation and revision of clinical pathways and other tools.
6. Works with leadership to design, implement, and evaluate a centralized care model that optimizes value. Works with leadership to continuously evaluate process, identify problems, and purpose process improvement strategies.
7. Coordinates/facilitates patient progression throughout the continuum, Transitional Planning, Advocacy and Education.
8. Educates the multidisciplinary team and physicians about clinical pathways/protocols and managed care principles.
9. Facilitates the professional development of personnel. Oversees and participates in the orientation, training, and continuing education of the staff (departmental and interdepartmental) and other health related personnel.
10. Maintains effective communication with Medical Staff, patients, staff, and other departments as necessary to assure identification of problems and provide problem resolution in support of the health system’s mission of quality patient care delivery.
11. Monitors current expense and human resource funds for his/her cost center cost effectively.
12. Participates in various activities (i.e. staff meetings, in-services, etc.) to assist the Sr. Director in the dissemination of necessary information to staff, physicians, and others by written and/or verbal means.
13. Assists in the development and implementation of on-going educational programs for professional and support staff which include new employee orientation, in-service continuing education, and new equipment and/or systems training which enables the staff to perform on the basis of current policy/procedures and state-of-the-art practices.
14. Promotes customer satisfaction through response to customer perceptions of services provided in a professional and constructive manner. Ensures the establishment and implementation of a team culture that is patient centered.
15. Ensures the appropriate delegation of departmental activities. Supervises delegated activities to assure effective completion.
16. Conducts monthly staff meetings or maintains communication book for employees to provide information on a departmental and hospital wide basis.
17. Fosters a competent staff through the provision of orientation, in-service, continuing education programs, and competency evaluations.
18. Directly involved in the formulation of the current expense budget advising Sr. Leader of any changes in material cost or projected volumes that may impact the budget in the in coming fiscal year.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Ability to stand for long periods of time.
2. Ability to sit for long periods of time.
3. Hearing (aid permitted) - Must be able to function without use of lip reading.
4. Visual Acuity (corrected) - Keen for both distance and near objects/individuals (i.e. ability to read small print).
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Office and clinical settings.
2. Time may be spent traveling to physician practices, community events and meetings.
SKILLS AND ABILITIES:
1. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues.
2. Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open minded, and adaptable to change.
3. Capable of independent judgment and action regarding psychosocial needs of patients.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Compensation Range:
$69,555.20 - $104,332.80
Compensation Range is based on 100% FTE. Salary will be prorated if hired at less than 100% FTE.
Company:
GRMC Garrett Regional Medical Center
Cost Center:
403 GRMC Care Management
Address:
251 N 4th Street
Oakland
Maryland
Benefit eligible employees classified as at least 0.5 eligible for: Medical, Dental, Vision, Disability Coverage, Tuition Program, Retirement, Paid Time Off, Wellness Program
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
