RN Care Coordinator - Chronic Care

                    

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 - Chronic Care

                        

Location

Stuart

                    

Facility

Stuart Family Health Center

                     

Department

Treasure Coast Integrated Hlth-Finance

                      

Job Code

000281

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic Martin Health team down in sunny Florida, 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 a Care Coordinator, you will work collaboratively with multidisciplinary caregivers across the continuum of care to provide coordination of care and disease management longitudinally to patients with chronic condition(s). You will work to ensure patient concerns are appropriately triaged to facilitate timely resolution and provider involvement when necessary. Ultimately, your efforts will focus on enhancing treatment outcomes and decreasing future Emergency Department visits for your patients. On this team, you will learn something new every day, grow in your field, and gain access to numerous professional development resources. 

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

 

After the on-site training period, this caregiver will work remotely. Living within two hours of Martin North Hospital is required. 

 
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.  

• Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator and identify the primary care team involved. 

• Utilize assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care coordination. 

• Utilize technological tools (registries, patient lists, care team tab, etc.) to manage populations. 

• 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