Prime Care Coordination
  • Binghamton, NY, USA
  • Salary
  • Full Time

Summary:

The Registered Nurse for Prime Care Coordination (PCC) will serve as a member of the assigned regional clinical support team responsible for reviewing case specific information and consulting with care managers to ensure coordinated services are provided to individuals supported by PCC. The RN is also responsible for providing clinical recommendations to enhance service delivery. In partnership with the care coordination team, the RN will provide training and information to individuals and family members, to promote health and well-being, mitigate risk factors and ensure ongoing support.

 Essential Job Functions:

  • Review case specific information and consult with to care managers to ensure coordination of services
  • Provide clinical recommendations to enhance service delivery
  • In partnership with the care coordination team, provide training and information to individuals and family members, to promote health and well-being and ensure ongoing support;
  • Educate Care Managers, individuals and family members on diagnoses, health conditions and medications;
  • Provide discharge planning assistance to care managers, and attend discharge conferences when appropriate, to support the care manager and family and ensure the plan is in the best interest of the individual;
  • Under the supervision of the director, monitor quality of care outcomes that contribute to overall team performance in achieving desired clinical and operational performance
  • Assist care managers with the interpretation of assessments and screening tools, recommend additional screening or assessment when appropriate, and facilitate access to preventive health screenings.
  • Work in partnership with care managers, assess safety concerns in an individual's environment to promote accessibility and mobility, as well as to provide instruction in patient safety
  • Conduct assessments and assist in developing Life Plans
  • Conduct clinical reviews for individual specific needs or overall program trends and outcomes
  • Conduct home visits for assessment and planning for individuals and families with complex health needs
  • Case conference with clinical providers of treatment to ensure continuity of care
  • Provide health literacy programs and training for staff
  • Provide crisis intervention, referrals and support to individuals and families
  • Provide on call availability with shared coverage with other clinical team members
  • Represent Prime Care Coordination on appropriate committees, boards, and task
  • Establish and maintain positive relationships at all levels inside and outside the
  • Perform all other duties relevant to the position as

Knowledge, Skills, and Abilities

  • Knowledge of OPWDD and/or DOH program and service delivery
  • Must be able to multi-task, establish priorities, and meet
  • Ability to work in a collaborative environment, work independently and motivate
  • Ability to communicate effectively, both orally and in
  • Ability to act quickly, assess and act accordingly in crisis situations
  • Basic technology skills and understanding of health
  • Maintain appropriate confidentiality and discretion at all
  • Education and Experience:
    • Must be licensed and currently registered as a Registered Nurse by the New York State Education Department; BSN
    • Specialized training or one year of professional experience in working with individuals with intellectual and/or developmental

     Physical Requirements/Working Conditions:

     

    • Ability to sit
    • Ability to reach above shoulder
    • Ability to turn/twist upper
    • Ability to use hand for repetitive action and fine manipulating for the purpose of
    • Must be able to travel throughout covered territories in Upstate NY as
    • Reasonable accommodations may be made to the extent required under applicable Jaw to enable individuals with disabilities to perform the essential functions of this

     

    Corporate Qualifications/Expectations:

     

    • Adhere to all Prime Care Coordination policies and
    • Adhere to the Agency Mission, Vision, Shared Values, and Customer Service
    • Attend mandatory education and training modules as scheduled; obtain and maintain required certifications/training by State regulations and PCC
    • Act as a professional representative of PCC in regard to appearance, behavior, temperament, communication, language, and dress.
Prime Care Coordination
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