AMVETS Jobs

Job ID354763 LocationTwin Cities Job FamilyHealth Care Full/Part TimeFull-Time Regular/TemporaryRegular Job Code3521CN Employee ClassCivil Service About the Job Objective/Overview This position contributes to the efficiency and effectiveness of the clinic's services in providing patient care and care coordination for the Mobile Health Care, Psychiatry Department and/or Medical Department. This position reports to the Registered Nurse (RN) Supervisor. Essential Functions All patient Care & Care Coordination (40%) Administer care/treatment and care coordination to patients as ordered by medical and mental health providers. Participate and work together with nursing and multidisciplinary team members to ensure that patients receive whole-person care. Conduct patient and family education related to preventive care, mental health care, chronic care and condition management as appropriate; connect patients to resources to meet their psychological needs and aid in their recovery. Manage a panel of patients, many with multiple medical and mental health diagnoses, and other patient populations as assigned. Develop patient care plans based on risk and overall patient care complexity. Work with care managers to implement the patient's care plan. Communicate with providers, care coordination team members, and other support staff through EHR, in person, and other means. Communicate significant changes in patient status to the provider and care team. Facilitate medication refills and provide medication education for patients as needed. Identify and connect patients to community resources that will assist them in achieving stability, sustained recovery, and improved health outcomes. Follow-up with patients if they have not scheduled their appointments. Check lab/path results from Fairview and if needed call Fairview for results. Follow-up with no-show patients that have not rescheduled. Work with interpreters and/or PSRs to call and schedule non-English speaking patients accordingly. Orient residents and nursing students as needed. Provide walk-in and phone triage. Empower patients to utilize appropriate resource for level of urgency (primary care vs. urgent care vs. emergency department) Respond to flags, Emergency Department/Inpatient Hospitalization summaries, refill requests. Respond promptly to Codes and other emergencies in the clinic, and work with clinical team members to deliver emergent care to patients. SUBSTANCE USE DISORDERS CARE COORDINATION & MANAGEMENT (50%) Provide Care Coordination services for patients eligible for the Suboxone program and for restricted patients. Identify patients for the Suboxone program. Thorough medical assessment and documentation of patient's signs and symptoms. Receive and transcribe physician orders to client charts. Manage dosage changes with providers. Administer and dispense opioid replacement medicine as ordered (Suboxone). Accurately and appropriately document client behaviors and self-reports. Assist with client intake process (e.g. Enrollment paperwork, screening client appropriateness). Provide patient education (e.g. risks and benefits of Suboxone, symptom management, understanding pain). Provide education on relapse, addiction, and overdose. Facilitate external referrals for medical needs. Monitor lab tests as required (e.g. urine toxicity, blood tests). Provide panel management, maintain contact requirements for best practices. Safely dispose of unused medications. Communicate changes to the Care Team. Teaming with Suboxone providers, primary care providers, primary physiatrist providers, nurses, therapists, pharmacists, and other internal and external supports on patient's Care Team. In conjunction with the provider, develop care plans for restricted patients, provide care coordination and manage restricted patients by communicating with providers, pharmacies, patients, etc. Other Duties as Assigned (10%) Attend all-staff meetings, weekly care coordination meetings, weekly nursing meet ngs, and daily huddles. Other duties as assigned. This position requires a criminal background check and negative TB test Qualifications All required qualifications must be documented on application materials Required Qualifications Graduation from an accredited school of nursing. BA/BS degree or a combination of related education and work experience to equal at least four years. Current licensure as a Registered Nurse in the State of Minnesota. CPR certified. Experience in managing clinical care using an electronic health record. Preferred Qualifications Two to three years of experience in providing care coordination or skilled nursing. Experience working in a chemical dependency, addiction or mental health clinic. Knowledge of community resources and/or social service agencies. Proficient in one of CUHCC's dominant languages: Spanish, Somali, Vietnamese, Hmong, or Laotian. Experience or certification in mental health nursing. Experience in providing care coordination to a complex, diverse patient population. Required Skills Nursing assessment aptitude and problem-solving skills Strong time management and organizational skills Knowledge of regulations, policies, and procedures for nursing in the primary care setting. Proficiency in utilizing an electronic medical record, registries or databases to monitor patient outcomes. Proficiency in electronic tools with the EMR to communicate with patients and clinical team members. Must be able to lift 30 lbs. Must be able to work in a fast-paced, rapidly changing environment that requires sitting, standing, and walking, with frequently changing priorities. Must be able to be flexible and multitask. High-level communications skills to work with patients, staff, providers, and outside agencies. Excellent customer service skills. Willingness and skill in working with patients and staff from diverse cultures, languages, and backgrounds. Capacity to work on a team and make positive contributions to the team. About the Department CUHCC serves nearly 11,000 patients a year through over 55,000 visits annually. The patient population comes from over 12 different racial and ethnic groups that span five continents. CUHCC's mission is to seek health equity in our community by advancing the well-being of diverse people. Candidates must be able to adapt behaviors to others' styles; interact with people who have different values, cultures, or backgrounds; be of service to difficult people; optimize the benefits of having a diverse workforce. Teamwork is an essential skill to promote synergy within the organization. Candidates must be able to share due credit with coworkers; display enthusiasm and promote a friendly group working environment; work closely with other departments as necessary; support group decisions and solicit opinions from coworkers; display team spirit. Candidates must have excellent communication skills and be able to clearly present information through the spoken or written word; read and interpret complex information; talk with customers or clients; listen well. Staff is expected to demonstrate a high... For full info follow application link. The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds. The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: http://diversity.umn.edu.