
Care Team Nurse - RN- Per Diem
- Colorado
- $27.39-39.43 per hour
- Permanent
- Full-time
- Employee Assistance Program
- Participates as part of the interdisciplinary team to provide patients with appropriate services and ensures coordination of these services through the nursing process, to include assessment, planning, facilitation, complex focused care coordination, evaluation, advocacy and comprehensive care plan development to meet a patient’s complex needs.
- Functions within interdisciplinary team to support team-based care in assigned clinic, as well as other clinic locations.
- Assess high risk and rising risk patients consistent with the current Policies & Procedures for Care Management.
- Assess and triage per protocol for the appropriate level of care based on comprehensive risk assessment including diagnosis, clinical judgment, and outcome goals.
- Identify and link patients to available resources, social support systems, family support, etc.
- Provides education to patients, families, care-givers.
- Encourages engagement and self-management of patients with regards to their own health
- Provides outreach to individuals, patients who are inactive in their healthcare, as well as the community.
- Provides in-reach to patients who are presently inactive in their healthcare.
- Facilitates access to quality and cost-effective care
- Provides outreach to individuals as well as the community.
- Demonstrates an ability to utilize technology to include, but not be limited to, the Electronic Health Records, state registries, Health Information Exchange.
- Maintains documentation of all interactions accurately and completely, implementing appropriate protocols for patients’ charts and billing practices
- Understands the immunization schedule and is able to support clinic staff and patients.
- Assists in the support of organizational clinic training needs for all clinical staff as assigned.
- Routinely attends trainings and meetings as recommended and required.
- Routinely participates in peer review, audits and chart audits as assigned.
- May be assigned to participate in precepting and training staff and students.
- Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.
- Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
- Embraces cultural diversity amongst ourselves and our community.
- Responsible for the human, financial, and material resources as well as data and information entrusted to us.
- Strives to deliver the best outcomes and highest quality service.
- Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
- Enhances the effectiveness, efficiency, and productivity of the department by contributing to and participating in departmental performance improvement goals.
- Other duties may be assigned