Southwest Care Center (SCC)
For over 25 years, Southwest Care Center has been providing exceptional healthcare to the communities of Santa Fe and Albuquerque, NM. We are a non-profit, FQHC-LAL providing medical, behavioral health, case management, community outreach, diabetes education, and pharmacy services. We are proud to offer gender equity medicine, syringe exchange, and HIV/Hep C treatment, testing and other services within our communities.
Southwest Care Center is currently seeking a remote part-time RN Care Coordinator. This role will provide occasional on site in clinic support, therefore candidate must reside in the local market area of Albuquerque or Santa Fe, New Mexico. The primary functions of the RN role will include care plan management, triage, and inbox management.
Minimum 1 year of RN experience within an ambulatory/primary care environment preferred. LPN or Medical Assisting experience may be considered in lieu of this requirement. Completion of an associate degree in nursing required. Bachelors of nursing preferred. Valid Registered Nurse License in the state of New Mexico or other compact state.
Serves as a key member of the interdisciplinary care team to identify high risk, high acuity patients that would benefit from care coordination. In collaboration with other providers and team members, develops interdisciplinary care plans for identified patients. Orients and educates patients (and family/support members as identified) by explaining the care coordination process and initiating their care plan. Coordinates care information and requirements with other care providers, resolves issues that could affect progression, and fosters peer support and education to others regarding the care coordination process. Continually evaluates adherence to and effectiveness of the care plan toward desired outcomes, modifying as necessary, to ensure the best outcome for the patient. Measures intervention effectiveness. Interacts both inside of SCC as well as externally to facilitate appointments, scheduling and completion of tests or other procedures, and to remove or minimize other barriers to adherence to care. May provide clinical care in compliance with SCC policy as well as the provisions of the New Mexico Nurse Practice Act. In collaboration with treating provider, refers patients to additional providers or resources to support specialized needs. Documents appropriately and timely in the EMR. Collects and analyzes data to support development and improvement of clinical best practice and SCC Quality programs. Supports research studies around care protocols, care planning and interventions. Participates in staff meetings and attends other meetings and seminars as requested. Performs other related duties as required and assigned.
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