Equitas Health Careers

Description

• Promote timely access to appropriate and encompassing care in compliance with standards set forth through HRSA and NCQA
• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider and care team
• Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up and integration of information into the care plan
• Increase continuity of care by supporting effective mechanisms in transitions of care and managing relationships with secondary and tertiary care providers and referrals
• Increase patients’ ability for self-management and shared decision-making
• Establish relationships with relevant community resources, resulting in the connection of patients to these resources with the goal of enhancing patient health and well-being, increasing patient satisfaction and reducing health care costs
• Assess patient health literacy and utilize effective strategies to increase understanding and activation in care
• Anticipate and meet or exceed all patient needs.
• Attend all Care Coordinator training courses/webinars and meetings
• Collect and analyze population health outcomes and Provide feedback for the improvement of the Care Coordination Program
• Assist in identifying appropriate QI initiatives to improve health outcomes for general Primary Care and Specialty Care
• Facilitate, implement and evaluate QI activities to improve chronic care management among care teams
• Increase efficiencies through the use of improved workflows and integration of service delivery to address complexity of chronic disease management.
• Will participate in ongoing professional and personal development related to enhanced leadership activities and evidence-based practices
• Other duties as assigned.

• Required:  RN Licensed in Ohio
• Required: Associate’s Degree in any discipline

• Knowledge of clinical quality indicators for Ryan White, FQHC, Meaningful Use and PCMH
• 2-3 years of RN experience in a clinical setting
• Evidence of essential leadership, communication and counseling skills
• Highly organized with ability to keep accurate notes and records
• Experience with Quality Improvement and change management preferred
• Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, and a demonstrated competence in working with persons of color, and LGBTQ communities.
• Proficiency in all Microsoft Office applications and other computer applications required.  Experience with EPIC highly preferred and ability to learn new technologies, web tools, and basic design tools is imperative
• Knowledge of ambulatory care nursing principles or experience in an outpatient setting preferred
• Must have reliable transportation and valid Ohio driver’s license