Nurse Integrated Care Coordinator

Seven Counties Services

  • Louisville, Kentucky
  • 30+ days ago

    Highlights

    Assists clients who have recently discharged from inpatient treatment, incarceration, residential care, and/or Emergency Department visits to ensure a transition to outpatient care using evidence-based transitional/navigation services to prevent readmissions. Assists with coordination/access to services that address social determinants of healthcare outcomes: Provides transportation to healthcare appointments, when needed.

    Numbers & Facts

    LocationLouisville, Kentucky

    Description

    Job Description:

    ESSENTIAL JOB FUNCTIONS

    • Provides first point of clinic contact for all new clients. Explain services available and focus on engagement of client to access services.
    • Completes health screenings, nursing assessments and triage healthcare needs for new and ongoing clients.
    • Participates in team meeting to develop a plan of care to address client needs.
    • Assists clients in navigating the healthcare environment to ensure access to appropriate care.
    • Advocates on client’s behalf with healthcare providers and managed care organizations to ensure timely quality care.
    • Assists with coordination/access to services that address social determinants of healthcare outcomes:
      • Provides transportation to healthcare appointments, when needed
      • Identifies other needs, when necessary, that ensure access to healthcare
      • Assists with access to other community resources e.g., public assistance and financial benefits.
    • Develops knowledge base of other healthcare providers in the service area and collaborate, as needed
    • Provides education and support wellness activities such as healthy eating, physical activity, and healthy behaviors
    • Assists clients who have recently discharged from inpatient treatment, incarceration, residential care, and/or Emergency Department visits to ensure a transition to outpatient care using evidence-based transitional/navigation services to prevent readmissions.
    • Collaborates with client, family/significant others to develop support networks.

    The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

    EDUCATION

    • Licensed Practical Nurse with current active license to practice in Kentucky.

    EXPERIENCE

    • Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
    • Experience in community setting or integrated care environment

    PHYSICAL DEMANDS

    • Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing
    • Possible exposure to the threat of bodily harm from clients or families.
    • Normal tasks may involve exposure to blood, bodily fluids, or tissue.  
    • Reliable transportation for frequent travel. 

    Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focused on customer service responsiveness, with a continuous quality improvement orientation.  Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.

    Time Type:

    Full time

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