RN - VPC Care Coordinator

Remote

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The RN will work in the VPC department to support and provide clinical oversight, in conjunction with the Primary Care Medical Directors, and Director of Population Health, to the VPC care team. The RN will serve as an available resource for patients and clinicians, and act as a care guide to support patients through the continuum of care.  He/she will carry out assigned nursing tasks and orders as delegated by the clinicians to support patient care.  

Responsibilities:

  • Assists all patients through the healthcare system by acting as a patient advocate and navigator.  
  • Participates in patient-centered team meetings and quality improvement initiatives. 
  • Facilitates health and disease patient education.
  • Supports patient self-management of disease and behavior modification interventions.
  • Coordinates (in conjunction with other care team members) continuity of patient care with external healthcare organizations and facilities, including the process hospital admission and discharge and referrals from the primary care provider to a specialty care provider.  
  • Coordinates continuity of patient care with patients and families following hospital admission, discharge, and ER visits. 
  • Manages high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting.
  • Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed.  
  • Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.  
  • Facilitates patient medication management based upon standing orders and protocols.
  • Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to primary care.
  • Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures. 
  • Follows standard procedures and protocols related triage and escalation of care.
  • Follows protocols and acts on standing orders per clinician guidance to assist with refills, ordering preventative/screening interventions, etc. within RN scope of practice.
  • Collect and analyze biometric data to support various population health and patient care initiatives
  • Provides support to medical assistants regarding clinical guidelines and protocols

Requirements:

  • Bachelor of Science in Nursing (Current RN license in state of residency.  Additional multi-state licensure may be required in other states which Doctor on Demand will facilitate.)
  • Excellent verbal communication skills
  • Proficient computer skills, including experience with google suite
  • Must have experience working in an electronic health record system or have previous database experience 
  • 2-5 years experience in a clinical setting, ideally with chronic disease management care
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About Grand Rounds Health, Doctor On Demand and Included Health:Grand Rounds Health, Doctor On Demand and Included Health merged in 2021 to form the first of its kind integrated virtual care company to raise the standard of healthcare. Our personalized, longitudinal care services include primary care, specialty care, integrated behavioral health, everyday and urgent care, chronic condition management and prevention and 24/7 triage. We get members to the right care, at the right time through ongoing clinical navigation, expert medical opinions and care coordination.
Partnering with leading employers and health plans, we deliver unparalleled, end-to-end care. Our combined nationwide practice of dedicated clinicians and innovative data science and technology platforms provide better care experiences, better member satisfaction, and better outcomes and cost savings for our nearly 100 million covered lives across commercial, Medicare and Medicaid. 
Headquartered in San Francisco, the combined company has been recognized as a 2020 UCSF Digital Health Award winner for Employer Wellness and 2021 Best Workplaces in Healthcare and Biopharma™ by Great Place to Work and Fortune. Learn more at www.grandrounds.com and www.doctorondemand.com.
-----Grand Rounds Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Grand Rounds Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.
Job tags: Computer skills
Job perks/benefits: Health care Wellness
Job region(s): Worldwide/Anywhere
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