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COMMUNITY BASED NURSE CARE COORDINATOR - MANAGED C

at Cook County Government in Chicago, Illinois, United States

Job Description

Job Posting:Jun 18, 2024, 3:57:21 PMClosing Date:Jul 3, 2024, 4:59:00 AMFull-timeShift Start Time:8:00A.M.Shift End Time:4:00P.M.
Collective Bargaining Unit:NNOC NursesNNOC NursesPosting Salary:$43.756-$59.885 HOURLY
Organization:Health and Hospital Systems

PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and the National Nurses Organizing Committee. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants.
LOCATION: MANAGED CARE - COUNTYCARE CLINICAL SERVICES
SHIFT: 8:00 AM - 4:00 PM
Starting salary is commensurate with years of RN experience

JOB SUMMARY  UNION NNOC
The Community Based Nurse Care Coordinator (CBNCC) supports the provision of care coordination in a manner that recognizes the Enrollee and the medical home care teams as essential partners in the Enrollee's care. These services are offered at the Enrollee's home, physician appointments, and/or other health care facilities. The CBNCC may work independently or in collaboration with a Community Based Social Worker Care Coordinator if the Enrollee is determined to be socially complex. Makes assessment of potential barriers that impede care or unaddressed complex health needs. Collaborates with Enrollee and medical home care team to develop and implement a plan that mitigates barriers and links Enrollees of any risk level to appropriate resources. The CBNCC works across sites of care and with multiple disciplines to achieve the desired outcomes for the Enrollee. MULTIPLE VACANCIES
Typical Duties
* Manages care according to care coordination protocols, policies, procedures, and Enrollee condition.
* Assists patients/Enrollees, their support persons, providers and vendors in facilitating optimum covered health care and services.
* Interfaces with care teams to ensure the application of care coordination protocols for screening assessment and care planning.
* Identifies patient care issues, develops an approach to resolve issues appropriately or escalates to the Manager of Complex Care Coordination.
* Provides clinical expertise to care teams when necessary to support coordination of care.
* In cooperation with appropriate quality personnel, participates in the development of quality metrics and means of data collection.
* Convenes in interdisciplinary care teams.
* Performs medication reconciliation.
* Prepares reports as requested.
* Supports implementation of new workflows to bring health care utilization and cost in alignment with departmental policies and procedures.
* Represents department in committees, workgroups as requested.
* Travels to Enrollees home or sites of care.
* Performs other duties as assigned.

 


MINIMUM QUALIFICATIONS:
A Bachelor's degree from an accredited college or university is required. (Must provide original transcripts at time of interview)
Licensed as a Registered Professional Nurse in the State of Illinois, required.
A minimum of one (1) year of work experience with responsibilities for care coordination across multiple healthcare settings and providers is required.
A minimum of one (1) year of experience in utilization management or case management is required.
A minimum of one (1) year of experience in ambulatory nursing, home health or public/community health is required.
Must have access to an insured vehicle and possess a valid Illinois driver's license for field duties. (Must provide driver's license and proof of automobile insurance at time of interview).

PREFERRED QUALIFICATIONS:
Master's degree in Nursing, Public Health, or Business from an accredited college or university is preferred.
Prior experience using Milliman or InterQual criteria sets and an understanding of clinical algorithms is preferred.
Experience working with the patient centered medical home model of care delivery is preferred.
Two (2) yearsof work experience in acute care setting is preferred
Knowledge, Skills, Abilities and Other Characteristics
* Knowledge of Medicare, Medicaid, and Third Party Payer review requirements
* Knowledge of social determinants of health and interventions to provide effective health care to persons living in poverty
* Strong interpersonal skills with the ability to establish strong working relationships and to communicate, effectively with leadership team, patients/members, primary care site leaders, physicians and clinicians, behavioral health team members and other care providers
* Strong written and verbal communication skills
* Proficiency with Microsoft Office Suite products (Word, Excel, PowerPoint and Outlook)
* Ability to work in... For full info follow application link.

COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER

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Job Posting: 11987240

Posted On: Jun 18, 2024

Updated On: Jul 04, 2024

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