Patient Care Coordinator, RN - WGH Primary Care Oak St

Job Description

Job Description

Are you a compassionate Registered Nurse looking to make a meaningful impact in patient care? Join our growing team of Patient Care Coordinators (PCC) at WGH, where we focus on improving outcomes through chronic care management, transitional care management, and quality initiatives. As a PCC RN, you'll work in a non-traditional, office-based role that allows you to build lasting relationships with your patients. You'll manage your own panel of patients, providing monthly check-ins, follow-up calls after discharge, and engaging in community outreach to identify and support those in need. At the heart of this role is patient advocacy - connecting individuals with resources and support to enhance their care and overall well-being.

The Patient Care Coordinator assists the physician or mid-level provider in formulating and implementing a care management plan that addresses the patients identified needs by assessing the patient / family needs, issues, resources, and care goals; determining the choices available to individual patients; educating the patient / family on the choices available. Establishes a care management plan that is mutually agreed upon by the health care team and the patient / family. Plans will contain specific mutual self-management goals, objectives, and interventions with the patients are action-oriented.

Duties include, but are not limited to, educating patients and their families, making referrals to other care providers by providing chronic care management services for patients. Duties will also include transitional care follow up calls for recently discharged patients, Medicare annual wellness screenings, and improving communication among care providers to improve patient outcomes. Will review utilization and quality reports routinely to identify patient gaps in care and any needs for additional support of the care management team.

Schedule : Monday-Friday, 8 : 00 am - 4 : 30 pm

Requirments :

• Graduate of an accredited school of nursing
• Current license as a registered nurse
• Current CPR certification
• Clinical experience preferred but not required
• Ability to perform functions with minimal supervision
• Effective telephone communication skills
• Proficiency in medication indications and side effects, understanding of medical tests and requirements for tests
• Good working knowledge of the nursing process and strong nursing practice skills including physical assessment skills
• Previous experience with care coordination preferred
• Excellent written and oral communication skills required
• Excellent computer skills required. Excel experience preferred
• May be required to work any day of the week including holidays and weekends

Benefits Summary

We are proud to offer a comprehensive benefits package, including :

About Us

At Wabash General Hospital, we are dedicated to putting patients at the heart of everything we do. Guided by our motto, “people you know, helping people you love,” we are committed to serving our community with care and compassion.

We offer services for all generations, striving to be the trusted healthcare destination throughout every stage of life. While we are honored to have received numerous awards recognizing our efforts to be the best, what truly sets us apart is the personalized experience we provide to our patients and their families.

Our compassionate and dedicated team is focused on delivering exceptional, individualized care to support patients and their loved ones every step of the way. Join us in making a meaningful impact in the lives of those we serve.