Clinical Care Coordinator - RN

We pride ourselves on creating a warm and caring work environment for our employees! We treat one another with dignity, seek understanding and we value differences. About us: The Sisters of the Holy Names of Jesus and Mary (SNJM) is an international congregation of Catholic Sisters. If the SNJM work environment sounds like what you are looking for, we invite you to apply for the position we have in Lake Oswego. What we offer: Medical/dental/vision/life insurance - we pay 100% of employee-only premiums 401(k) program with employer matching 11 paid holidays per year Paid time off (PTO) starting at 18 days/year About This Role: As part of the Health and Well-Being team, provides nursing care management to SNJM Sisters living in the on-site facility. Consults and advises regarding healthcare needs and services. Enhances Sister’s understanding of her own medical needs. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assist and advise individual Sisters who have requested assistance or who have been identified as needing assistance with healthcare and related services. Perform all essential functions of care coordination including assessment, development of health and related needs-based plan, implementation, monitoring, evaluation and adjustment. Lead daily rounds of Sisters living in Mary’s Woods and the Provincial House. Keep Director of Healthcare Services and Director of Clinical Care and those appropriately involved in a particular Sister's health situation updated on a regular basis. Maintain positive, professional working relationships with physicians, nursing, social services, pastoral, and other staff at Mary’s Woods to facilitate optimal care of Sisters. Assist Sisters in communicating with healthcare providers (physicians, discharge planners, home health agencies, hospice and healthcare facilities, etc.) Assist in transitioning Sisters as needed to other levels of care. Maximize use of services provided at facilities. Transport and accompany Sisters to medical appointments when health advocacy is needed, or support others in doing so, especially at times of health transition, surgery, etc. Serve as a resource to Sister and her chosen support person(s). Assist physicians with on-campus visits. Conduct monthly DHS clinical reviews by phone. Work integrally with and as a resource to SNJM Community Life Enrichment staff and provide support as needed for activities. Attend Mary’s Woods care conferences weekly. Attend and participate in SNJM Health and Well-Being team meetings. May occasionally provide direct nursing care services on a limited basis with the approval of the Director of Healthcare Services. Document Sisters progress notes/updates in tracking document. Perform other related duties as needed and/or directed. QUALIFICATIONS: To perform this job successfully, individuals must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education: Graduation from an accredited nursing program; Unencumbered RN license in the State of Oregon Experience: 3 years’ experience. Clinical experience in long-term care, geriatric, home health or behavioral health a plus Skills, Knowledge, and Abilities: Must be supportive of the mission of the Sisters of the Holy Names of Jesus and Mary. Must model SNJM Guiding Values in carrying out work activities and responsibilities. Must be able to respect and maintain confidentiality of sensitive information. Thorough knowledge and understanding of the concepts of aging and concerns of the elderly population. Demonstrated ability to communicate professionally, empathetically, and compassionately with elder population who may be ill, disabled, hospitalized, and/or experiencing loss. Understanding of and ability to maintain appropriate professional boundaries. Demonstrated knowledge of and experience coordinating community resources in Portland metro area, with ability to research, evaluate, and coordinate community resources in other areas of Oregon as needed. Ability to develop and maintain collaborative relationships with SNJM Sisters, staff, and external contacts. Must be able to function independently and have flexibility, personal integrity, and the ability to work effectively with Sisters, staff, providers, and external facilities. Excellent organizational skills and ability to prioritize and execute tasks in a timely manner. Demonstrated written and verbal skills to ensure effective communication. Ability to respond to urgent and/or stressful situations appropriately and calmly. Proficient knowledge of Microsoft Office and other computer software programs including, but not limited to Word, Excel, Outlook. Valid drivers' license. Ability to travel within Portland Metro area fulfilling job responsibilities. HOURS: 40 hours per week Monday - Friday, days. Non-exempt. On-call every third week annually. May work 1-3 holidays annually. RATE: $50-$52 DOE #J-18808-Ljbffr