Community Based Nurse Care Coordinator - Managed Care - Countycare Clinical Services

PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and the National Nurses Organizing Committee. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants.

LOCATION: MANAGED CARE - COUNTYCARE CLINICAL SERVICES

SHIFT: 8:00 AM - 4:00 PM

Starting salary is commensurate with years of RN experience

JOB SUMMARY UNION NNOC

The Community Based Nurse Care Coordinator (CBNCC) supports the provision of care coordination in a manner that recognizes the Enrollee and the medical home care teams as essential partners in the Enrollee's care. These services are offered at the Enrollee's home, physician appointments, and/or other health care facilities. The CBNCC may work independently or in collaboration with a Community Based Social Worker Care Coordinator if the Enrollee is determined to be socially complex. Makes assessment of potential barriers that impede care or unaddressed complex health needs. Collaborates with Enrollee and medical home care team to develop and implement a plan that mitigates barriers and links Enrollees of any risk level to appropriate resources. The CBNCC works across sites of care and with multiple disciplines to achieve the desired outcomes for the Enrollee. MULTIPLE VACANCIES

Typical Duties

• Manages care according to care coordination protocols, policies, procedures, and Enrollee condition.

• Assists patients/Enrollees, their support persons, providers and vendors in facilitating optimum covered health care and services.

• Interfaces with care teams to ensure the application of care coordination protocols for screening assessment and care planning.

• Identifies patient care issues, develops an approach to resolve issues appropriately or escalates to the Manager of Complex Care Coordination.

• Provides clinical expertise to care teams when necessary to support coordination of care.

• In cooperation with appropriate quality personnel, participates in the development of quality metrics and means of data collection.

• Convenes in interdisciplinary care teams.

• Performs medication reconciliation.

• Prepares reports as requested.

• Supports implementation of new workflows to bring health care utilization and cost in alignment with departmental policies and procedures.

• Represents department in committees, workgroups as requested.

• Travels to Enrollees home or sites of care.

• Performs other duties as assigned.

MINIMUM QUALIFICATIONS:

• A Bachelor's degree from an accredited college or university is required. (Must provide original transcripts at time of interview)

• Licensed as a Registered Professional Nurse in the State of Illinois, required.

• A minimum of one (1) year of work experience with responsibilities for care coordination across multiple healthcare settings and providers is required.

• A minimum of one (1) year of experience in utilization management or case management is required.

• A minimum of one (1) year of experience in ambulatory nursing, home health or public/community health is required.

• Must have access to an insured vehicle and possess a valid Illinois driver's license for field duties. (Must provide driver's license and proof of automobile insurance at time of interview).

PREFERRED QUALIFICATIONS:

• Master's degree in Nursing, Public Health, or Business from an accredited college or university is preferred.

• Prior experience using Milliman or InterQual criteria sets and an understanding of clinical algorithms is preferred.

• Experience working with the patient centered medical home model of care delivery is preferred.

• Two (2) years of work experience in acute care setting is preferred

Knowledge, Skills, Abilities and Other Characteristics

• Knowledge of Medicare, Medicaid, and Third Party Payer review requirements

• Knowledge of social determinants of health and interventions to provide effective health care to persons living in poverty

• Strong interpersonal skills with the ability to establish strong working relationships and to communicate, effectively with leadership team, patients/members, primary care site leaders, physicians and clinicians, behavioral health team members and other care providers

• Strong written and verbal communication skills

• Proficiency with Microsoft Office Suite products (Word, Excel, PowerPoint and Outlook)

• Ability to work in a team based environment

• Ability to communicate in a confidential and HIPAA compliant manner

• Ability to maintain appropriate professional boundaries with all staff, trainees, and patients at all times

• Ability to demonstrate respect and sensitivity for cultural diversity patients and coworkers

• Ability to work autonomously and consult appropriately

• Ability to develop and execute patient care plans and advocate effectively for member/patient needs to achieve optimal health outcomes

• Ability to appropriately manage and rank competing priorities and complete both patient/member care plans and other assignments within appropriate time frames

• Prior experience creating and implementing plans of care for complex patients

• Prior experience working with medically underserved populations

VETERAN PREFERENCE

PLEASE READ

When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position .

• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"

• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

• A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.