Care Coordinator Epilepsy Surgery - Akron | Zoek USA | 000178
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Care Coordinator Epilepsy Surgery
Permanent (Full time)
Works collaboratively with multidisciplinary care team staff across the continuum of care for high risk patients. Provides coordination of care and disease management longitudinally to patients with chronic condition(s) or episodic care of a surgical population. Focuses efforts on patient outreach and coordination of care for a panel of patients to achieve optimal outcomes and promote wellness, decreasing preventable ED visits and readmissions while improving patient :Identifies which patients in the specialty care practice have ongoing care coordination needs for their specialty the nature and duration of involvement needed by the specialty care team and specialty care coordinator then identifies the primary care team assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care targeted outreach to a defined panel of high risk patients (chronic illness, lack of social support, readmissions, ED visits, surgical episodes, etc.) to ensure timely and efficient care delivery across the continuum of technological tools (registries, patient lists, care team tab, etc.) to manage comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral pharmacy, social and end of life needs of each the patient and family regarding coordination of their care and shares this information with the healthcare collaboratively with interdisciplinary team to develop goals and plan interventions to maximize patient patient compliance with plan of reassessments regarding patient progress toward goals and updates plan of care as care gaps are closed around specialty disease/chronic disease/surgical as primary patient contact for team related to condition/surgical episode and facilitates access to members of the patient care as the liaison between patients, families, and physicians, clinical staff by advocating for patient and families then responding to and facilitates resolution of patient/family questions and in managing transitions of care across care setting, ensuring optimal communication and planning. Identifies barriers to receiving care and facilitates with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and and ensures compliance with disease-specific care paths for specialty care or chronic with the patient and family to assess current knowledge, health literacy, and readiness to change, utilizing teach back to assess level of patient and family on self-management support; including setting long and short term about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks. Educates and connects to other care providers and community resources to enhance with practices on quality and process improvement home care only, this role oversees and directs clinical staff and a team of LPNs to ensure patients receive appropriate duties as :Graduate from an accredited school of professional nursing. BSN :Current state licensure as a Registered Nurse (RN).Specialty certification Life Support (BLS) through American Heart Association (AHA).Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in medical oncology, radiation oncology, cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic of Work:Requires critical thinking skills, decisive judgment and the ability to work with minimal be able to work in a stressful environment and take appropriate Experience:Three to five years of nursing experience Requirements:Requires full range of motion, manual and finger dexterity and eye-hand corrected hearing and vision to normal requires some exposure to communicable diseases or bodily Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is Protective Equipment:Follows Standard Precautions using personal protective equipment as required for : Full Time