Vacancy caducado!
Axis Community Health is a nonprofit community health center that is growing rapidly in response to the exciting changes that are occurring in the healthcare arena. Axis Community Health has served the Pleasanton, Livermore, and Dublin area since 1972. Our services include medical care, mental health counseling, behavioral health, and WIC nutrition services for Tri- Valley residents.
We would love for you to apply to join us on our mission to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community.
CLICK HERE TO APPLY:APPLY HERE
ESSENTIAL DUTIES/RESPONSIBILITIES:
Under the direction of the RN Manager:
The Care Transition Registered Nurse (aka CTRN) will be responsible for providing care transitions services for patients who have had inpatient care or an emergency department visit to ensure that they are being discharged to settings appropriate for their needs and that they are connected to a medical home and a primary care provider. Responsibilities to include but not limited to:
Identification of patients in need of care transition services using EHR notification pools and external data sources such as claims or MCO dashboards
Evaluation of patient hospital record including obtaining necessary records not available in the EHR health information exchange
Coordination with hospital and health plan management before and after discharge
Provides ongoing communication with patients post-discharge regarding care by telephone and also through secure messaging, secure Internet, or other asynchronous non-face-to-face consultation methods (for example, email or secure electronic patient portal)
Assessment of patients for acute care needs or medical complications
Medication Reconciliation
Provision of care coordination services for complex patients as needed, including home health, DME, transportation, financial assistance, and linkages with community resources
Initiation of appropriate in house referrals
Provision of timely follow up appointments
Participation in regularly scheduled strategy meetings
Implementation of quality improvement recommendations including enrollment of patients into chronic disease care programs to improve quality of care for high-risk members
Requires strong clinical care skills & experience, including systematic assessment, planning, evaluation, monitoring, patient/family education and documentation in accordance with all program requirements
Perform other duties as assigned
REQUIRED COMPETENCIES:
Demonstrate clinical assessment skills at the level necessary to meet the job requirements
Ability to make independent decisions when circumstances warrant such action
Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to medical care
Effective interpersonal skills and the ability to work with an interdisciplinary care team
Ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, and policies and procedures that are necessary for providing quality care
Capable of researching new methods and principles to incorporate them into existing nursing practices
Proven decision making and analytical skills
Ability to organize, prioritize, and efficiently carry out duties and assignments
Ability to interact effectively and in a professional, supportive manner with persons of all backgrounds
Excellent verbal and written communication skills
Computer skills, to include Word and the ability to use the Axis practice management systems and Electronic Health Records
QUALIFICATIONS:
Current active California Registered Nurse license
Minimum of 1 year experience preferably in case management or acute care setting
Experience and knowledge of primary care medical services
Ability to meet requirements of CPR, First Aid and other mandated programs
BENEFITS:
Employer paid health, dental, and vision benefits to the employee.
Option to participate in a 403(B) retirement plan with employer matching contribution.
Partial educational reimbursement.
12 paid holidays.
Accrued paid time off with each pay period.
Employee discount programs.
CONNECT WITH AXIS:
Company Page: https://www.axishealth.org
Facebook: https://www.facebook.com/axiscommunityhealth
LinkedIn: https://www.linkedin.com/company/axis-community-health
Physical Demands and Working Conditions:
Work is normally performed in a typical clinic work environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Physical: Occasionally required to carry/lift/push/pull/move up to 30lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, etc. Must be able to stand, sit for extended periods. Requires the ability to reach with hands and arms, and occasionally climb stairs. Requires sitting operating a computer keyboard, telephone and other equipment for extended periods of time. Occasional travel to other Axis health centers and other travel will be required.
Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff, etc.
Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Occasional exposure to dust and loud noises.
Equipment: Frequently required to use a computer, phone, copy machine, fax machine, and other medical office equipment.
Axis Community Health is committed to creating a diverse work environment and is proud to be an equal opportunity employer (EEO). All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, or status as a covered veteran in accordance with applicable federal, state and local laws.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact us for assistance. Link to "EEO is Law" poster: https://www.eeoc.gov/employers/upload/posterscreenreaderoptimized.pdf As part of our hiring process Axis conducts background checks.
Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity.
Key Search Words: Care Transition Registered Nurse, Acute Care, Care Transition, Telephonic Support
Vacancy caducado!