173926 Summary
Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient's advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts comprehensive and preventive screenings for patients. Completes outreach to patients that: have gaps in care and initiates action designed to close those gaps; that have not been seen within 30 months, those that are eligible for an Annual Wellness Visit. Plans, facilities and provides health coaching and disease patient education across all patient populations to encourage patients to become proactive in their plan of care. Ensures applicable patients of the practice receive annual physical exam and/or annual health risk assessment including completion of required documentation by payer contract if indicated. When appropriate and/or when referred, facilitates discussion with patient and family members on advanced care planning directives and services. Helps to identify workflow and operational opportunities for better patient care. Integrates into the clinic and is seen as one of the care team members and a go-to resource. Promotes and continuously exhibits World Class Teamwork and communication among all members of the care team and across the health system.
Education
Must have ASN from accredited program. BSN preferred.
Licensure/Certification
Must have valid Indiana Registered Nursing License. Must have current BLS certification.
Experience
Minimum of 3 years in ambulatory care or hospital setting preferred.
Why Parkview?
We have everything you're looking for in a career; great compensation and benefits; skill development and career advancement programs and more. At Parkview, we are committed to providing excellent care to each patient within our clinics and medical practices. The success of this mission begins with care team members like you.
- Benefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options
- Sign-on bonus: For certified and uncertified Medical Assistants, LPN's, and RN's hired in part-time and full-time positions.
- Education: Clinical Orientation, tuition assistance, certification reimbursement
- Growth: Parkview's Medical Assistant Advancement Pathway (MAAP)
- Culture : World-class teamwork, Personalized health journeys for co-workers and family members
Proud to Bleed Green:
Be your best. Be a Parkview nurse.
You wanted to help others, so you chose a career in nursing. Now choose the health system that can help you be your best Parkview. We re the healthcare leader in northeast Indiana, with 10 hospitals, Magnet status and everything you need to launch or grow a great career in nursing. Our team, comprised of over 13,000 co-workers, is dedicated to improving the health and inspiring the well-being of individuals and families in communities throughout northeast Indiana and northwest Ohio.
Great compensation and benefits.
At Parkview, we provide a Total Rewards program that includes great compensation and benefits, a work/life balance and learning opportunities to enhance your career and personal life.
- Compensation Great compensation package, sign-on bonus (Up to $40,000 for critical needs areas), relocation bonus
- Benefits Competitive benefit discounts and plan flexibility through Signature Care PPO network, Parkview Employee Assistance Program, Parkview Workplace Wellness
Tuition Assistance If you want to go back to school, whether for personal or professional reasons, Parkview wants to help. We offer tuition assistance to any eligible co-worker after just six months of continuous employment with Parkview.
Student Loan Payback Program Have large student loans to pay back? As a Parkview nurse, you re eligible to receive student loan payback dollars from Parkview.
Nursing Residency Program - At Parkview we offer an environment focused on personal and professional growth, while supporting our nurses as they transition from student to professional nurse. Our Nurse Residency Program is designed to give you the confidence and skills you need to grow a successful career, providing excellent care to every person, every day.
Creative employment opportunities.
Parkview Travel Program We understand there are many seasons in life, and your career should reflect your desire to grow when and where it s right for you. That s why our Travel RN program offers assignments lasting three to nine months, giving you the opportunity to expand your career while also providing the flexibility you desire.
Parkview RN Hotel Program We know the thought of relocating to a new community can be a hard decision. Parkview offers lodging assistance to RNs who live over 50 mile from their Parkview hospital location allowing you to see what it s like to be part of our team before relocating to northeast Indiana.
A culture that just feels right.
At Parkview, we are known for our quality of care, innovation and collaboration among all care team members. Our culture can be seen and felt when walking through our front door and continues into the clinical care areas and administrative offices. Our nurses and leadership display shared values, friendliness, genuine compassion and a dedication to providing excellent care to every person, every day. But this caring continues beyond our doors as well. As a mission-driven, not-for-profit health system, Parkview also gives back to the community. Each year, we sponsor numerous outreach initiatives to address the health priorities of our region. Because at Parkview, we believe in better not just for patients, but for the entire community.