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Job Description
Nurse Care Coordinator
42219BR
42219BR
Position Description
Employees in this classification are registered nurses responsible for helping manage a patient's care by coordinating the patient's treatment plans, educating them about their condition, connecting them with health care providers, and evaluating their progress. The incumbent will be responsible for consulting with patients, family members, and the health care team to determine patient needs, develop care plans, coordinate patient services, develop expected patient outcomes, and work with the care team to evaluate interventions. Requires a high degree of contact with patients, families, and TTUHSC clinic staff.
A Transitional care management (TCM) nurse coordinates a patient's care as they move between healthcare settings, such as from hospital to home, to prevent complications, hospital readmissions, and improve health outcomes. The overall goal is to ensure a seamless transition, enhance the continuity of care, and empower patients to manage their health effectively.
Major/Essential Functions- Identifying high-risk patients.
- Conducting post-discharge follow-up calls and visits within specific timeframes and using clinic protocols.
- Reconciles the discharge medication list.
- Provides education to patients and caregivers, along with implementing teaching plans for patients and their families with health learning needs.
- Promotes and reinforces patient-centered medical home concepts with patients, their family, and clinic personnel.
- Works proactively to prevent complications, reduce hospital readmissions, and manage patient populations by identifying and addressing quality gaps in care needs.
- Audits charts utilizing custom report data, identifies and reports alterations in patient responses to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team.
- Assists in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families.
- Communicates patient data using EMR to support decision-making to improve patient care.
- Participates in the identification of patient needs for referral to resources and facilitates continuity of care.
- Completes Annual Nursing Core Competency Training and maintains current nurse licensure.
Required Qualifications
Graduated from an approved, accredited nursing program. A minimum of 2 years of experience in a clinical or community resource setting; Care coordination and/or case management experience is desirable. Current RN license in the State of Texas or ability to attain a temporary permit from the Board of Nursing to practice nursing pending full licensure in the state of Texas.
To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=897751
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.
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ABOUT THE COMPANY
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Texas Tech University Health Sciences Center
Show moreAbout Us
Nationally recognized for innovative programs, academic achievement, cutting-edge research and exceptional patient care, Texas Tech University Health Sciences Center aims to promote a greater health environment for West Texas and beyond. While our flagship campus resides proudly in Lubbock, Texas, TTUHSC operates five schools with campuses in Abilene, Amarillo, Dallas/Fort Worth, Lubbock and the Permian Basin (Midland & Odessa).
Like Texas itself, we are an independent and proud institution that is part of a larger union, the Texas Tech University System. As a university separate from Texas Tech University, we have been entrusted with a singular charge: to teach the next generation of doctors, nurses, pharmacists, researchers and health care professionals while simultaneously providing the people of West Texas with world-class patient care. We are both an institution of higher learning and a place where real people come for life-saving medical care.
Our Mission
As a comprehensive health sciences center, our mission is to enrich the lives of others by educating students to become collaborative health care professionals, providing excellent patient care, and advancing knowledge through innovative research.
Our Values & Culture
Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first. Our five values guide our actions and principles: Beyond Service, Kindhearted, Integrity, One Team, and Visionary.
Compensation & Benefits
We are proud to offer many exceptional employee benefits, including a generous compensation package with comprehensive benefits, medical and dental insurance, paid time off and substantial automatic retirement contributions. Additionally, we invest in employee success by providing many resources designed to support your personal and professional growth, including:
- Comprehensive Health Plans and Other Core Insurance
- State Retirement Programs and Pension Options
- Retiree Insurance for Lifetime Medical Benefits
- Continuing Education & Lifelong Learning Programs
- Tuition scholarships for employees and their dependents
- Leadership and Professional Development Programs
- Mental and Physical Wellness Programs
- Employee Recognition Programs and Longevity Pay
We are excited for you to consider joining our team at the Texas Tech University Health Sciences Center. Consistently ranked as a "Great College to Work For" by the Chronicle of Higher Education, TTUHSC provides so much more than just a job!
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