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Care Support Nurse Clinician II

Company: HealthPoint
Location: Renton
Posted on: November 24, 2022

Job Description:

Would you like to have a career that makes a daily difference in people's lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading! HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is, because everyone deserves great care. Position Summary: The Care Support Nurse Clinician II provides clinical care management assessment, support, longitudinal care coordination and resource facilitation within an integrated interdisciplinary primary care team. The Care Support Nurse Clinician II evaluates, engages, and serves a population of patients with high risk and complex medical conditions and social barriers to wellness as a partner in the Population Health Dept who utilizes best practices, data and continuous process improvement to provide the most equitable individualized care possible. Your contribution to the team includes: Provide comprehensive nursing care management assessment, evaluation, triage, referral, and support to patients with complex medical, behavioral health and social needs by actively partnering with interdisciplinary care teams, focusing on overcoming social drivers of health and improving health equity. Develop, maintain, and advance individualized care plans with patients, focusing on individuals at high risk for poor health outcomes or avoidable high-cost care and actively facilitating achievement of health and wellness goals. Serve as an indirect-care clinical partner to the care team with a focus on medications, disease processes and progression, whole-person care and quality outcomes.
Provide intake, longitudinal nursing care management and support to identified patients, including chronic condition treatment planning, urgent medical interventions, transition of care support, resource navigation, community resource procurement, care coordination, and emotional support. Evaluate acuity of needs and assist patients in overcoming barriers to optimal health and wellness, promoting graduation from care coordination when appropriate and maintaining appropriate patient panel size.
Actively maintain engaged patient panel utilizing proactive person-centered techniques and approaches such as critical thinking, motivational interviewing, case finding, SMART goal setting, health coaching, patient-empowerment, relationship-building and proactive independent collaboration.
Be committed to a continuous learning environment where programmatic goals will shift based on the healthcare environment, requiring flexibility and prioritization. Provide care coordination and nursing care management support for patients in various programs including pilot projects, grant-funded initiatives or other populations as identified in collaboration with leadership. Travel to various locations, including clinic, community, and home visits, as needed to provide care and support.
Actively partner with care team members to provide nursing care management support and Nursing expertise especially for situations involving complex medical situations. Promote patient self-management, self-determination, and person-centered care. Facilitate care conferences, identify needs and connect to other interdisciplinary team members or specialties to support high quality patient care.
Effectively collaborate with community partners and external organizations to promote health, wellness, effective coping and disease management of designated patient populations. Foster efficient delivery of care and services by assuring that effective communication exists between patients, their support system, and care teams. Respond to patient and care team requests promptly.
Utilize the nursing care management perspective to administer screenings and assessments. Provide referrals for various risk factors or conditions to help guide and inform care plan and care support interventions or approaches, such as PRAPARE, PHQ-9, GAD-7, KATZ, PAM. Administer additional or advanced assessments as clinically appropriate. Created 07/2022 Care Support Nurse Clinician II Page 2 of 4 Reviewed
For patients eligible for specific programs through their insurance carrier, such as Health Homes for Medicaid, or through public or private funders, provide care and services in line with the requirements of the managed care organization, external entity, or funder. Complete any payer contract requirements including eligibility verification, coordination of appointments, attending required trainings, administering, and documenting screenings or assessments within required timeframes.
Utilize patient-engagement skills to positively impact quality metrics, program, and clinical outcomes with designated patients. Be accountable for improving health outcomes, utilization rates, patient satisfaction, and self-sufficiency for a defined population of patients in alignment with evolving organization and population health goals for people with complex health and social situations.
Maintain professional relationships and boundaries while supporting patients, families or caregivers with empathy, compassion and cultural congruence and maintaining respect for confidentiality, privacy, and mandated reporting.
Identify and take appropriate action on patient safety situations, including assessing and facilitating patient safety planning, referrals and connections utilizing HealthPoint safety protocols, state, and local guidelines. Utilize clinical judgment and leadership support to facilitate appropriate connection to direct care for patients in crisis when indicated.
Effectively assess and utilize appropriate communication modalities to maintain consistent and timely connection with patients, families and care team members including phone calls, video visits, clinic or home visits, and electronic communications as appropriate. Display emotional intelligence and continuously hone communication skills.
Act as a change agent to address health disparities, improve health equity and advocate for person[1]centered approaches to care.
Actively participate in population health approaches to patient care and support. Engage in data analysis and contribute to understanding health and social outcomes for patients, communities and within the care team.
Document appropriately and timely in electronic medical record, databases, and other electronic systems as indicated. Demonstrate efficient and effective approaches to managing workload.
Maintain good attendance, is punctual and works full scheduled shift is a condition of employment.
Demonstrate respectful, professional, and appropriate behavior that supports a team-oriented work environment.
Demonstrate a commitment to the mission, core values and goals of HealthPoint and its healthcare delivery including the ability to integrate values of justice, respect, compassion, excellence and stewardship into appropriate programs and services.
Other duties as assigned by supervisor. Must have's you'll need to be successful: Bachelor's degree in Nursing from a four-year college or university and three (3) years of direct-care nursing or equivalent combination of education and experience required. Previous experience in care management, care coordination, hospital setting, working with vulnerable populations, behavioral health or community health required. Master's degree in Nursing (MSN), relevant certification, and/or bilingual language proficiency preferred.
Current Unencumbered Washington State Registered Nurse license required and must be maintained. Valid Washington State Driver's License with an acceptable driving record determined by HealthPoint's insurance carrier.
Possesses basic operating knowledge of computers. Comfortable with Word, Excel and Outlook required, willing to learn OTTO or any other electronic telehealth platform. Proof of immunizations and/or immunity to: COVID-19, MMR (measles, mumps, and rubella), Varicella, Annual Influenza, and TB are required for all employees. Additionally, if you work in a HealthPoint clinic, Tdap (within last 10 years) is required. Hepatitis B. is required for clinical employees with potential exposure to blood/blood products. All immunizations are a condition of employment. Upon hire, employees must provide proof of their immunizations and/or immunity prior to starting or no later than their fifth (5) business day of employment. Where to gather your records: If you received immunizations in Washington, Arizona, Louisiana, Maryland or West Virginia, you may visit to create an account and retain proof of your medical records for the immunity/immunization requirements.
If records do not show any data, please seek guidance from your provider for further assistance. HealthPoint is committed to offering all employees a competitive compensation package, including benefits and several other perks. Medical, Dental, Vision, Disability Coverage
Employee Assistance Program
Generous PTO Plan
Paid Holidays
Opportunity Time Off (extended time off for staff to invest in themselves)
Retirement Plan with Employer Match
Voluntary plans at a discount, such as life insurance and identity theft insurance
Third Party Perks Discounted Movie Tickets, Travel, Hotels, and more
Growth Opportunities To learn more about HealthPoint, go to #practiceyourpassion It is the policy of HealthPoint to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex (including pregnancy), age, national origin, marital status, military status, sexual orientation, because of sensory, physical, or mental disability, genetic information, gender identity or any other factor protected by local, state or federal law, and to prohibit harassment or retaliation based on any of these factors.

Keywords: HealthPoint, Renton , Care Support Nurse Clinician II, Healthcare , Renton, Washington

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