Rochester, New york
Anti-Coagulation Care Manager-RN Job Opening in Rochester, New york - The Anti-Coagulation Care Manger works in collaboration with primary care providers and the patient care teams to identify and proactively manage the anti-coagulation needs of patients with high risk, complex medical, behavioral health and/or psychosocial problems through office, and telephonic support. The Anti-Coagulation Care Manger develops and implements an anti-coagulation care management plan based on the anti-coagulation protocols, patient goals, preferences and disease states to promote improved health care outcomes and quality of life. The incumbent in this position serves a central role in linking patients to appropriate community resources, facilitates referrals to appropriate care services, supports patient self-management, and communicates with providers in order to reduce barriers to improved health care outcomes. Additionally, this position serves as an integral member of the primary care practice's care team, assesses patients for risk of adverse health outcomes, and measures the impact of care management interventions.
Essential * Manages and coordinate the delivery of care for patients on anticoagulation therapy. * Conducts assessment of patient needs, preferences, clinical, and psychosocial barriers. * Monitors patient?s level of activation relative to their anti-coagulation goals over time. * Communicates with MDs and outside agencies & document those communications. * Identifies resources for patient self-management skills and advocates for patients to ensure access and timely service delivery across the continuum of care. * Reviews and updates care plan as necessary. * Accepts phone calls/reports from patients and other disciplines, using clinical notes to document such interactions. * Requests and monitors labs as necessary * Provides culturally competent interventions based on patient assessment and identified cultural needs, including patient and family education, assessment of caregiver burdens, and ensuring appropriate access. * Identifies barriers to a successful anti-coagulation care management path and makes recommendations to care team and family for overcoming these barriers * Assists in finding community services to achieve optimal care of patient. * Conferences with family as indicated (with or without area manager as directed.) * Conducts periodic chart review to ensure proper documentation of care provided. * Conducts medication reconciliation as appropriate and communicate needs for adjustments to care team/provide * Participates in task forces as requested. * Attends mandatory In Services and participates in optional In Services and continuing education. * Provides vacation Coverage for other Anticoagulation RN. * Handles confidential information in accordance with HIPPA, state and federal privacy and confidentiality rules.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies? mission and values and adhering to the Corporate Code of Conduct. * Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. * Regular and reliable attendance is expected and required. * Performs other functions as assigned by management.
Interacts effectively with physicians and other members of the health care team * Bachelor?s degree in Nursing with current NYS licensure, and a minimum of 5 years of clinical nursing experience. Care Management experience preferred. * Minimum 3 years of vascular or cardiac health experience. * Knowledge of community resources required * Working knowledge of health care and health insurance provisions in a variety of service settings. * Excellent communication skills and ability to form collaborative partnerships across all service settings * Good listening skills * Sound reasoning and problem solving skills * Ability to assimilate new information and technologies into daily work * Strong computer skills: Competent in Microsoft Office products (Word, Excel, Outlook, PowerPoint) * Ability to interact with individuals with diverse cultural and religious customs
Physical Requirements
See attached.
In Support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.
Equal Opportunity Employer
Job Type: Full-time
Required education:
Bachelor's
Required experience:
nursing: 5 years
|
