Nurse Care Coordinator - Integrated Health & Wellness Center - Goodwill Industries of Greater NY and Northern NJ


: $56,125.00 - $104,060.00 /year *

Employment Type

: Full-Time


: Healthcare - Nursing

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General Purpose: The Nurse Care Coordinator works with patients referred to the Goodwill Integrated Health and Wellness Center for assistance in accessing and utilizing health care resources due to their complex chronic illness and co-occurring psychiatric diagnoses. Their role is to improve health outcomes through coordinating care, educating patients, building trust between patients and medical practitioners, and enhancing communication and the continuity of care. They will teach, counsel and monitor patients on health issues relevant to their care. As a member of a multidisciplinary team, they consult with other health care team members to coordinate the services of patient education, preventive care and disease management. Essential Functions: Responsible for initiation, development, coordination, and provision of a full range of health and wellness activities relevant to the needs and interests of persons served by the Goodwill Health and Wellness CenterEngages with persons served directly and in collaboration with project and agency staff and existing community providers in the design, promotion, utilization, and accomplishment of individual health and wellness plans, a diversity of educational and hands-on programming, evaluation of results, and perpetuation of increased personal knowledge and self-responsibility for healthier choices and life-stylePerform an intake assessment which includes obtaining and reviewing prior medical records and medical or program-related financial data, documenting a complete medical history, assessing cognitive/verbal skills and needs and identifying barriers to accessing healthcareUnder standing orders, accomplish laboratory testing, immunizations, TB skin testing and referral for preventive health needs as indicated per disease management protocols.Identify patient symptoms, signs and disabilities and document in the Electronic Health Record.This includes checking vital signs and other physical findings.Monitor patients frequently for changes in health status after initiation of a new medication, a hospitalization or recent decline in function.Follow-up with patients when barriers to referrals are identified.Triage and facilitate response to urgent telephone calls, requests or visits from patients.Provide counseling and facilitate screening for HIV, other STDs, and Hepatitis as indicated.Monitor lifestyle factors affecting health such as tobacco use, substance abuse, nutrition and physical activity and assist the patient with goal-setting to achieve behavioral change.Perform clinical duties and laboratory procedures, distribute and/or administer medication, and regularly confer with and assist the medical and behavioral health staff to further care coordinationResponsible for the development of the Individualized Recovery PlanParticipate in regular staffing meetings focused on coordinating patient care Collaborate with other Behavioral Health providers on patient care and integrated delivery of wellness services. This may include facilitating groups, health assessments and evaluations at other Behavioral Health program sitesOther duties and assignments as may be assigned at the sole discretion of the employer Qualifications: Associates Degree in Nursing and 3 years work experience related to chronic disease management and licensure as an RN in NY or a Diploma in Practical Nursing, 5 years work experience related to chronic disease management and licensure as an LPN in NY.BSN Degree in Nursing, preferredExperience in patient education and/or chronic disease management Skills Required: Content knowledge and expertise in program-specific field.Familiarity with local community resources for patients with chronic disease.Ability to communicate clearly and effectively, verbally and in writing to all levels of employees.Knowledge of patient teaching, health promotion and disease prevention methods related to routine health care and those designed to address the needs of patients with chronic, disabling health conditionsAbility to maintain effective work relationships.Ability to make accurate professional judgments.Ability to develop a collaborative therapeutic alliance with individuals.Intermediate Word and Excel a plusExcellent communication and written skillsMust be able to prioritize and multi-taskNavigate and negotiate through difficult situations Scope of Responsibility & Positions Supervised: Reports to NP and Project Director Special Working Conditions: Requires long periods of standingEvening/weekends may be required * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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