Bilingual RN Care Coordinator - IL RN License Required

Company: Oak Street Health

Title: RN Care Coordinator - Bilingual

Location: Illinois 

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patient's communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

Role Description:

This position coordinates care for Oak Street Health members. This position works collaboratively with interdisciplinary care teams that may include the member's PCP, specialists, Social Worker, Behavioral Health Specialist, and community resource contacts, while functioning with professional autonomy under the supervision of the Complex Care Management leadership team. This position performs appropriate assessments, organizes, reviews, and reports health and social information. Individuals in this position demonstrate cultural sensitivity, effective communication, and motivational interviewing skills.

Core Responsibilities:

• Manage an assigned caseload of members while remaining in compliance with all internal and regulatory requirements

• Create and nurture relationships with all assigned members working towards their optimal overall health and well-being

• Be the system navigator and point of contact, in collaboration with administrative support, for members and families

• Conduct complete, timely, and accurate program specific assessments

• Develop and maintain a person-centered care plan or family driven care plan for all members in assigned caseload involving the member's PCP, family/caregiver, Social Worker, Behavioral Health Specialists, and other specialists, as needed to evaluate the individual's needs, goals, and plan of action

• Complete all activities and interventions outlined in the members care plan and ongoing monitoring of cases to ensure routine follow up and progression in their care plan goals

• Document visits in electronic health record according to standards set forth in delegation contracts

• Specific delegated services may require Care Coordinator to schedule and maintain interdisciplinary care team (ICT) meetings and to facilitate associated activities with members and their identified support team while maintaining strong communication with the member's care team

• Maintain HIPAA standards and confidentiality of protected health information

• Other duties, as assigned

What are we looking for?

• Current RN License in good standing in the state of IL required

• Minimum of three (3) years clinical experience, HMO /Managed Care setting preferred

• Care Coordination / Case Management training

• Bilingual in Spanish a plus

• Knowledge of community resources in assigned service area

• Knowledge of clinical standards of care preferred

• Knowledge of Medicaid/Medicare contracts and benefit systems is preferred

• Demonstrated customer-focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary care team, community agencies, members, and families

• Ability to work autonomously, follow through with delegated tasks and be directly accountable for deliverables

• Outstanding verbal and written communication skills

• Ability to work independently and maintain flexibility in a fast-paced, start-up environment

• A high-level of accountability and responsibility for the outcome of care

• Strong presentation and facilitation skills

• Ability to affect change, work as a productive and effective team member, and adapt to changing needs and priorities

• Excellent organizational skills and ability to manage multiple priorities appropriately

• Independent problem-solving skills