Remote Clinical Coordinator (Registered Nurse) Care

Job Title: Clinical Care Coordinator (Registered Nurse) - Remote

Job Overview

We are in search of a dedicated and meticulous Clinical Care Coordinator to enrich our team. In this pivotal role, you will oversee care coordination and management services to assist individuals in effectively navigating their healthcare journeys. Collaborating closely with enrollees, their families, and healthcare professionals, you will play an essential part in ensuring smooth care transitions, enhancing health outcomes, and addressing care gaps.

Key Responsibilities
? Manage a designated caseload in accordance with directives from Care Management Leadership.
? Engage with enrollees at predetermined intervals, offering supplementary support as required.
? Conduct in-person visits in diverse environments, including enrollees? residences and healthcare facilities.
? Evaluate enrollees upon their enrollment and periodically to ascertain needs, obstacles, and potential areas for care enhancement.
? Coordinate case management tasks, prioritizing quality, timeliness, and adherence to industry regulations.
? Collaborate with Senior Care Managers to prioritize cases, establish objectives, and tackle potential risks or utilization issues.
? Seek advice from more experienced team members for specialized care requirements.
? Ensure precise and timely documentation of enrollee interactions and assessments, in line with organizational standards.
? Adhere to confidentiality protocols pertaining to enrollee information.
? Engage in discharge planning to connect enrollees and their families with suitable healthcare resources.
? Educate enrollees and caregivers about preventive health services, highlighting the importance of compliance with recommended care practices.
? Utilize comprehensive knowledge of target population conditions and established care management methodologies.
? Review provider reports and facilitate the coordination of follow-up care as necessary.
? Assist enrollees in the effective use of assistive technology, medication management, and self-care techniques within the defined scope of practice.
? Support enrollees in managing care transitions, such as provider changes or transitions between care environments.
? Process authorizations for services that require approval from Care Management personnel.
? Communicate effectively with enrollees, their families, and healthcare providers to foster understanding and collaboration.
? Maintain professionalism and a customer-centric approach in all interactions.
? Apply strong organizational and time management skills to balance workload effectively.

Required Skills
? Exceptional verbal and written communication abilities.
? Familiarity with medical terminology and healthcare delivery systems.
? Proficient in Microsoft Office and other pertinent computer applications.
? Excellent organizational competencies and the ability to interpret and apply departmental policies.
? Strong decision-making capabilities and sound judgment.
? Capacity to perform efficiently under pressure and meet deadlines, ensuring outstanding customer service.
? Experience in participating in professional multidisciplinary meetings with internal and external teams.
? Bilingual (Spanish-speaking) preferred.

Qualifications
? 3-5 years of relevant experience in care management, managed care, or community resource settings.
? Active licensure in Washington, D.C. as a Licensed Independent Clinical Social Worker (LICSW) or Registered Nurse (RN).
? Certification as a Case Manager is highly desirable.
? An Associate's degree is mandatory; a Bachelor's degree is preferred.

Company Culture And Values

Our organization is committed to fostering a collaborative and supportive environment, where the welfare of individuals is our utmost priority. We value open communication, empathy, and teamwork, ensuring that every team member is appreciated and plays a vital role in enhancing the health and wellbeing of our enrollees.

Career Growth Opportunities

We advocate for continuous professional development and provide avenues for staff to engage in interdisciplinary meetings with both internal and external teams. Employees are encouraged to seek mentorship and guidance from senior colleagues, promoting an atmosphere of learning and career advancement.

If you are passionate about making a significant impact in the lives of others and possess the necessary skills and experience for this vital position, we warmly invite you to apply!

Employment Type: Full-Time