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RN Care Coordinator

Company: Quad
Location: Saginaw
Posted on: December 4, 2019

Job Description:

QuadMed's dedicated health professionals focus on wellness and prevention, putting the patient at the center. Working as a team, we deliver high quality, integrated care while controlling ever-growing costs. QuadMed is an innovative leader in employer healthcare solutions, one of the fastest growing providers in the country. In partnership with our patients and the companies we serve, our mission is to create a culture of health.We are excited to offer anexceptional opportunity as a RN Care Coordinator with the Dow Family HealthCenter located in Midland, Michigan.   Midland, the heart of Michigan"stechnology basin, is home to the Dow Chemical Company"s worldheadquarters. For more than 100 years, Dow has been at the forefront ofinnovation and values the health and wellness of their employees. Dow is one ofForbes" Best 15 Companies to work for and the top employer in Midland, MI.Located in the Tri-Cities region ofMichigan, Midland was ranked the fourth best small city to raise a family byForbes in 2010. Enjoy many cultural and sports opportunities, from thebeautiful Dow Gardens to architectural tours to ample sports venues (includingsoccer, hockey, tennis, and softball).  QuadMed provides workplace solutionson a national level to employers of all sizes. Our Health and Wellness Centersprovide medical, laboratory, pharmacy, fitness, and rehabilitation servicesalong with coordinated care through relationships with local hospitals,providers, and specialists. GENERAL PURPOSE OF JOB The RN Care Coordinator is acritical component in providing patient education, facilitating servicesnecessary that are outside and inside of the Healrh Center, provides patientfollow-up to ensure care was provided and is effective and supports the Providersin the QuadMed Chronic Condition programs including diabetes, asthma,and hypertensive conditions. This individual will track and maintainaccurate documentation of the coordination and referral process in thepatient"s medical record.   KEY RESPONSIBILITIESImplements the Patient Center Medical Home Model philosophy into the patient experience.Conducts education and referrals utilizing regulatory guidelines within the state.Electronic Medical Record (EMR) Tracking and Documentation.Document and track activity related to referrals in the EMR timely.Run, monitor and appropriately manage the referral reports. Proivide updates to providers and clinical staff as needed. Acts as a program resource for patients and internal partners including scheduling appointments, referring patients to appropriate resources and assisting patients in all aspects of the referral process.Facilitates the sending and receiving of information to service/referral providers and provide follow-up for patient results.Provide case management by being a patient advocate, resource and contact for patients and families in care coordination and referrals.Conducts staff education and coaching to ensure they are aware of all the program resources and updates available to their patients. Phone Triage to include outlining the Chronic Condition Management program to patients and directing them to the appropriate provider.Propely documenting all phone paitent encounters in the EMR. Establishes proactive outreach opportunities to increase patient health and outcomes and assist in future planning of programs.Distributes program marketing and referral information to providers and assists them in selecting best practice options for their patients.Organizes enrollment and tracking of new membership as the program grows through new QuadMed locations and providers.Assists with wellness programming as needed.Provide outreach to patients discharged from area hospitals or surgery centers when made aware of the event to provide follow-up assistance and/or to inquire on patient"s status and assistance needs. Manages role relationship and includes Supervisor in role facilitation and effectiveness.Performs clerical support duties including faxing, scanning and data entry (i.e. lab values.) in partnership with care coordination.Aids in administering and tracking contract performance guarantees with the Legal, Sales, Account Management and Operations departments.Acknowledges and adheres to patient"s rights on confidentiality issues, maintains patient confidentiality at all times and follows HIPAA guidelines and regulations.Performs duties in accordance with the Nursing Code of Ethics and other guiding principles of nursing.Other duties as assigned by clinic supervisor.JOB REQUIREMENTS Appropriate education and/or experience may be substituted on an equivalent basis Education: Requires a registered nurse degreefrom an accredited college or university Experience:Minimum five (5) years outpatient care experience Minimum two (2) years experience  in case management, or able to demonstrateExperience promoting wellness programming is a plus Certificates, Licenses,Registration:Requires a current and valid license in the state of the position or a compact state license.CPR or current BLS certification within 60 days of hire.PALS a plus Knowledge, Skills &Abilities: Excellent communication skills; both written and verbal, with proven organizational and facilitation ability.Strong team player with ability to be a self-starter professional who can work independently and proactively toward program improvement.Must be proficient in Microsoft Office including Word, Outlook, and Excel  Weoffer excellent benefits to eligible employees, including 401(k), holidays,vacations and more. In select states,patient care is provided by an independent physician-owned corporation. Quad/Graphicsis an equal employment opportunity employer. The Company"s policy is not tounlawfully discriminate against any applicant or employee on the basis of race,color, sex, sexual orientation, gender identity, religion, national origin,age, military or veteran status, disability, genetic information or any otherconsideration made unlawful by applicable federal, state, or local laws. TheCompany also prohibits harassment of applicants and employees based on any ofthese protected categories.  DrugFree WorkplaceÂ

Keywords: Quad, Saginaw , RN Care Coordinator, Other , Saginaw, Michigan

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