Nurse Care Coordinator

Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees. Nurse Care Coordinator Job Code: 13379 Location: Saco 04072 Department: Behavioral Health Home FT/PT Status: Full Time Summary: The Nurse Care Coordinator shall provide regional primary care consultation, psychiatric care consultation; work with the Behavioral Health Home Organization (BHHO) & Certified Community Behavioral Health Clinic (CCBHC) team, Child Assertive Community Treatment Team, Private Non-Medical Institute, and other members to facilitate care across the healthcare continuum. $5,000 sign-on Bonus! Rate: $33 - $36 depending on experience ESSENTIAL FUNCTIONS: Provide education and support around medications to the Interdisciplinary Team (IDT), members, and families. Provide medical education about chronic disease management to IDT members, families and groups. Liaison to Health Home, ACT Teams, CCBHC Practices/Primary Care Physicians. Collaborate with the IDT on member plan of care. Review Health Questionnaire and provide recommendations to IDT and/or members and families for medically compromised participants. Assist, and/or make recommendations regarding skill development in activities of daily living, including hygiene, nutrition, exercise, general health maintenance/improvement. Support implementation of grant funded projects such as In-Shape, CTI, and other health and wellness pay for performance initiatives in geographical area where program is offered. Support Behavioral Health Home team, CCBHC and Child ACT in achieving organizational and state required outcomes, including but not limited to A1C testing, tobacco screening and annual health screenings . Be proficient in EHR, HIN, and VMS systems in order to extract clinical data and alerts in order to support level of care. Consult with IDT and members as indicated regarding discharge planning recommendations and follow up. Monitor emergency department usage and coordinate with IDT and other providers to promote least restrictive level of care. Medication reconciliation through EHR from external providers (i.e. PCP, Specialists, etc.) when appropriate. Provide medication and medical education to Interdisciplinary Team (IDT), members, and families. Complete pharmacy enrollments, medical equipment orders, and other supports/services to support recovery goals. Provide CRMA Training and Supervision as needed. Schedules will vary according to program needs (as applicable): On-call responsibilities as assigned GENERAL EXPECTATIONS: Provide excellent customer service Active participation in supervision of student interns, as appropriate and needed. Ensure the confidentiality of all patient information and release of information from area(s) of responsibility. Ability to support and recognize the important role volunteers play. Sweetser employees work with, support, collaborate with volunteers, and promote opportunities for volunteer engagement Exercise judgment consistent with clinically accepted standards of community practice in determining whether to transport a particular patient(s). Maintain adequate personal vehicle insurance coverage, a valid state driver’s license, a vehicle that is in good repair and a good driving record as per organization policy. Active participation in required supervision as determined with Program Manager according to licensure level. Timely and accurate provision of administrative paperwork according to the time frame established by the organization’s policies. Active participation in administrative meetings, including program meetings and general staff meetings. Understand and comply with all Sweetser policies and procedures as identified in the Human Resources Policy Manual. Maintain administrative responsibility (charting/documentation, etc.) Active participation in in-service training and continuing education programs. Active participation in providing community education to staff, community groups, etc., as appropriate and needed. Maintain minimum number of training hours mandated by professional licensure and required by state licensing. Maintain relationships with patients that promote dignity, equality and self-determination. Provide productive and supportive collaboration with peers/colleagues in the same program and across programs. Maintain productive and efficient relationships with all organization-wide personnel and programs. Maintain positive representation of the organization, at all times, with the public. Follow Suicide safer care practices. Other duties as assigned. EDUCATION: Graduate from an accredited school of nursing. CERTIFICATES, LICENSES, REGISTRATIONS: Current RN license in the State of Maine. Maintain a valid state driver’s license. Must be able to speak, read, and write English fluently. EXPERIENCE: Previous experience working with adults with serious and persistent mental illness preferred. #J-18808-Ljbffr