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CHRONIC CARE COORDINATOR

Work in a place where your team values you!

Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a Full Time experienced, energetic, strong and dedicated Chronic Care Coordinator to provide exceptional care for patients in support with the NFCH Clinic Medical Providers.

At NFCH, our strength lies in our promise of “Your Health…Our Mission”, where we get to know our patients and residence, care for them, and ease their way. Working at our organization means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. Join our team of passionate caregivers and make Northwest Florida Community Hospital your new home.

The successful candidate will be responsible for the following duties:

• Responsible for registry of chronic care management (CCM) patients.

• Validates enrollment of CCM patients based on provider request

• Conducts minimum of one 20 minute of telephone or in-person counseling and education per month to each CCM patient on roster.

• Complies with documentation requirements of the Chronic Care Management program by carrying out the care plan with the patient, family/caregiver(s) and providers and recording in the EMR.

• Monitors adherence to care plans, evaluates effectiveness, monitors patient progress in a timely manner, and facilitates changes as needed.

• Creates an ongoing process for patient and family/caregivers(s) to determine and request the level of care coordination support they desire.

• Facilitates patient access to appropriate medical and specialty providers.

• Coordinates transition of inpatient to outpatient care in an effort to decrease readmission rates

• Work closely with in-office providers to manage the day to day calls involving: symptom control, medication management, and provide patient and family education

• Educates patient and family/caregiver(s) about relevant community resources.

• Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and assist on the enrollment of these to the patient registry.

• Coordinates continuity of patient care with external healthcare organizations and facilities including from the primary care provider to a specialty care provider.

• Supports patient self-management of disease and behavior modification interventions.

• Provides patient health counseling, education and instruction.

• Clinic Receptionist duties as needed, to include but not limited to:

o Communicates organizational billing and collection practices

o Addresses patient questions, problems and concerns regarding billing and/or collections

o Performs clerical duties such as answering telephones and scheduling patients

The successful candidate will possess the following minimum qualifications:

• Current LPN license for the state of Florida.

• Minimum of 1-3 year work experience in a healthcare setting involving patients with complex chronic disease states preferred.

• Strong working knowledge of chronic disease states including chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and congestive heart failure and basic medical management of these states

+ Must be highly motivated, result-oriented with strong skills in presenting, communicating, organizing, multi-tasking and time management skills

+ Strong organizational and interpersonal skills

+ Excellent customer service skills demonstrated by positive feedback from patients/team.

+ Ability to identify problems and recommend solutions

+ Ability to read, write and communicate effectively orally and in writing

+ Basic computer skills including previous work with an electronic health record (EMR)

We are an Equal Opportunity Employer and boast an enjoyable, team oriented working environment that offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, tuition reimbursement and a voluntary match 401(k) retirement savings plan.

*Perks for our team:

• 401K with employer match, Competitive pay, Medical, dental, vision, and life insurance, FREE Services with NFCH Providers, A generous PTO plan, Health and Wellness Discounts.

*Details outlining program specifics are available upon request

So if you want to join a team that values your hard work, look no further than Northwest Florida Community Hospital!

Job Type: Full Time

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Life insurance

Vision insurance

Paid time off

Medical Specialty:

Chronic Care

Physical Setting:

Clinic

Schedule:

8 or 12 hour shifts

Day

Experience:

1-3 year work experience in a healthcare setting involving patients with complex chronic disease states preferred

License/Certification Requirements:

Certification or License as LPN

Physical Requirements:

Must be able to sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours

Must be able to lift 40 lbs. floor to waist, lift 40 lbs. waist to shoulder, lift and carry 40 lbs., and push/pull 40 lbs.

Work Remotely: No

This description is intended to provide only basic guidelines for meeting job require­ments. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon successful completion of all pre-employment requirements, to include undergoing a pre-employment drug screening, and that failure to submit to such screening, the falsification of a screen, or a positive finding on a test will remove the applicant from consideration for employment for one year.