Job Description

Welcome to Jane Pauley Community Health Center! We’re happy you are considering joining our Nursing Team. This position is full time, splitting time in-office (required 3 days, 1-2 days per week onsite at the Shelbyville office) and optional work from home (2 days).

Our competitive employment offerings include:

Have Balance: Investing in YOU

• No after-hours/on-call responsibilities; office hours M-F, 8 a.m.-5 p.m.
• Medical, vision, and dental plans
• Generous vacation time: 216 hours annually (or pro-rated)
• Extensive loan repayment through NHSC
• 401K plan and match at 6%
• Paid life insurance plans
• Work anniversary recognition

Be Supported: A Team-Based Approach

• A support structure to care for diverse patient populations
• Opportunities to grow your skills, while improving our organization
• Direct access to and communication with executive leadership

Change Lives: Caring for Our Communities

• Federal and grant funding to help those who need it most
• Key partnerships with major health systems and local groups
• Commitment to diversity, equity, and inclusion in meeting needs of our patients and employees

Job Summary - Patient Care Coordinator, RN:

The Patient Care Coordinator, RN is an essential member of the practice care team at The Jane Pauley Community Health Center (JPCHC). Under the direction of the Practice Manager, the Patient Care Coordinator supports the promotion of health, disease prevention and management, teaching and education, developing nursing care plans, and communicating with external facilities and patient's families. Works hand in hand with all members of the healthcare team to achieve quality outcomes for the population of the practice site. Patient Care Coordinator role will be a hybrid remote role. The Hybrid Remote terms and work schedule will be discussed and mutually agreed upon by JPCHC leadership and the RN.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

As a Patient Advocate:

• Assists patients through the healthcare system by acting as a patient advocate.
• Facilitates and provides health patient education utilizing evidence-based practice, JPCHC approved patient handouts and assessment of patients or families teach back skills.
• Facilitates patient self-care management of disease and behavior modification interventions.
• Coordinates continuity of patient care internal to JPCHC and between internal teams and external healthcare facilities including referrals from the primary care to a specialty care entity.
• Coordinates continuity of patient care with patients and families following hospital admission, discharge and ER visits through telephonic outreach and use of health information exchange.
• Collaborate with the Care Team for smooth transition of care for patients referred to JPCHC providers.
• Coordinates continuity of patient care for assigned high risk patient populations and facilitates scheduling of follow-up appointment based on internal provider’s plan of care.
• Performs phone triage within the scope of his/her of training and license and utilize age-appropriate clinical assessment and intervention with patients to support their psycho-social, and medical needs, provides recommendation to patients or families based on JPCHC triage protocol and/or as recommended by medical providers.
• Performs medication refills and prior authorization.
• Documents timely, consistently, and thoroughly of patients’ face to face encounters or phone interactions and contacts attempts in the EMR utilizing standard nursing process.

As a Site Clinical Quality Improvement Liaison:

• Participates in clinical quality improvement initiatives and provides recommendation on clinical best practice.
• Provides feedback to JPCHC QI Committee on the quality and effectiveness of quality metrics tools.
• Works closely with providers and clinical staff of pre-visit planning activities.
• Monitors closure of care gaps and quality metrics and provide recommendations on clinical best practice.
• Performs proactive outreach of patients due for preventive screenings.
• Monitors overdue lab results and notifies medical providers of abnormal findings or critical values.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to the Patient-Centered Medical Home and Medical Neighborhood initiatives.

As a Nurse Preceptor:

• Participates in precepting newly hired clinical staff or nursing students.

Education and/or Experience:

• Graduation from accredited Nursing Program required.
• Current state licensure as a Registered Nurse required.
• Two years’ experience as a triage, or in ambulatory, insurance, or acute care setting preferred.
• 2-5 years’ experience in chronic disease management, case management, utilization management, and adult acute care preferred
• 1 year in a Patient-Centered Medical Home clinical setting or knowledge of the Patient-Centered Medical Home initiative preferred
• Basic Life Support through AHA required

More about Jane Pauley Community Health Center:

Join a rewarding place to make a difference.

Working at Jane Pauley Community Health Center (JPCHC) is more than a job. It is a place to achieve work-life balance and join a collaborative team that makes a direct impact on our local communities in Central Indiana.

Our mission as a Federally Qualified Health Center (FQHC) is to promote a healthy community through the provision of accessible, respectful, and integrated healthcare with local partners to any and all individuals and families, regardless of insurance status. It is for this reason Indy’s own Emmy-winning TV news personality Jane Pauley lends her name to our organization. Today, we are experiencing exciting growth to which you can lend your talents!

Invest your skills in changing lives and let us invest in you! Thank you for considering being part of our passionate team.

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