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Join Cleveland Clinic Children's, where we are committed to treating both children and loved ones like members of our own family. Caregivers in our Pediatric Endocrinology unit provide for patients with juvenile diabetes, growth and puberty disorders.

The RN Care Coordinator works collaboratively with multidisciplinary team staff across the continuum of care for high-risk patients. This caregiver provides coordination of care and disease management, longitudinally to patients with chronic conditions or episodic care of a surgical population. Additionally, this caregiver focuses efforts on patient outreach and coordination of care for a panel of patients to achieve optimal outcomes and promote wellness, decreasing preventable ED visits and readmissions while improving patient satisfaction.

This is the ideal role for an individual who wants to make an impact on the lives of child and adolescent patients throughout the continuum of care, while working as part of a multidisciplinary team.

A caregiver in this role works Monday-Friday, from 8 a.m. -- 5 p.m.

A caregiver who excels in this role will:

+ Identify which patients in the specialty care practice have ongoing care coordination needs for their specialty condition.

+ Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator, then identify the primary care team involved.

+ Utilize assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care coordination.

+ Conduct targeted outreach to a defined panel of high-risk patients (chronic illness, lack of social support, readmissions, ED visits, surgical episodes, etc.) to ensure timely and efficient care delivery across the continuum of care.

+ Utilize technological tools (registries, patient lists, care team tab, etc.) to manage populations.

+ Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral pharmacy, social and end-of-life needs of each patient.

+ Inform the patient and family regarding coordination of their care and share this information with the healthcare team.

+ Work collaboratively with interdisciplinary team to develop goals and plan interventions to maximize patient outcomes.

+ Monitor patient compliance with plan of care.

+ Perform reassessments regarding patient progress toward goals and update plan of care as appropriate.

+ Ensure care gaps are closed around specialty disease/chronic disease/surgical episodes.

+ Serve as primary patient contact for team related to condition/surgical episode and facilitate access to services.

+ Coordinate members of the patient care team.

+ Serve as the liaison between patients, families and physicians, clinical staff by advocating for patient and families then responding to and facilitate resolution of patient/family questions and concerns.

+ Assist in managing transitions of care across care setting, ensuring optimal communication and planning. Identify barriers to receiving care and facilitate solutions.

+ Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others.

+ Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.

+ Work with the patient and family to assess current knowledge, health literacy and readiness to change, utilizing teach back to assess level of knowledge.

+ Coach patient and family on self-management support, including setting long- and short-term goals.

+ Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks. Educate and connect to other care providers and community resources to enhance care.

+ Work with practices on quality and process improvement initiatives.

Minimum qualifications for the ideal future caregiver include:

+ Graduate from an accredited school of professional nursing

+ Current state licensure as a Registered Nurse (RN)

+ Basic Life Support (BLS) through American Heart Association (AHA)

+ Three to five years of nursing experience

Preferred qualifications for the ideal future caregiver include:

+ Bachelor's of science in nursing

+ Specialty certification

+ Pediatric experience

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

+ Requires full range of motion, manual and finger dexterity and eye-hand coordination.

+ Requires corrected hearing and vision to normal range.

+ May requires some exposure to communicable diseases or bodily fluids.

+ Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

Personal Protective Equipment:

+ Follows Standard Precautions using personal protective equipment as required for procedures.

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities