Throughout the COVID-19 pandemic, Saint Luke’s Health System is committed to providing exceptional care for all patients and a safe and healthy atmosphere for our team.

Person, Nurse, Doctor

RN Care Coordinator High Risk Primary Care, Full Time.

Kansas City, Missouri.

JobReq0021695

 

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RN Care Coordinator High Risk Primary Care

  • 901 E 104 St, Saint Luke's Heath System - Headquarters, Kansas City, Missouri, United States, 64131
  • Full Time

Job Description​

We are hiring an RN Care Coordinator for Population Health!

This position is a HIGH RISK Care Coordinator which will focus on the most at risk patient population within Primary Care across the System.

The Population Health Care Coordinator in our Primary Care department is tasked with care coordination for a panel of moderate to high risk patients. This role functions as a part of the care team, collaborating across the continuum of care to provide complex disease management interventions to moderate/high risk and post discharged patients.

  • Utilize a team-based, holistic, patient-centered, evidence-based approach to identify patient-centered goals and develop outcomes to improve the health status of a patient panel.
  • Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care.
  • Improve communication and collaboration between patient and families, healthcare teams and community-based organizations.
  • Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion.
  • Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care.
  • Ensure care gaps are closed on patient panel.
  • Enhance health literacy by using teach back and other various forms of learning validation.
  • Provide self-management support with the use of information technologies to communicate health promotion and disease prevention information.
  • Partners with other care coordination teams across the Saint Luke’s Health System and community organizations.
  • Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families.
  • Facilitates transformational care delivery in clinical settings and advance the mission and goals of population health division.
  • Monitor key measures of performance, quality improvement and care transformation in the assigned clinical area..

Job Requirements

Applicable Experience:

3-5 years

Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various

Bachelor's Degree (Required)

Job Details

Full Time

Day (United States of America)

"The best place to get care. The best place to give care." That is the Saint Luke's vision and, whether in a hospital, clinic, practice, or office, our more than 12,000 employees strive toward that vision every day. Saint Luke's employees are proud of our rich history and heritage, and that we remain the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who always strive for excellence in patient care. Take this opportunity to do the best work of your career within a highly diverse and inclusive work space where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer. We hire only non-tobacco users.

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