Job Description

At Mahaska Health, the primary role of a Registered Nurse (RN) or Licensed Practical Nurse (LPN) Care Coordinator is to provide high quality, holistic healthcare to patients with multiple chronic and preventive conditions (high risk patients) through a patient-centered approach to improve their lives. Primary responsibility of Remote Monitoring and Chronic Care Management

Essential Job Functions include but are not limited to: 

• Supports and empowers patients throughout health care continuum to include holistic counseling, problem solving “barriers to care” issues and coaching clients as needed re: treatment and medication adherence, healthy life choices, and self-help behaviors.
• Responsible for providing appropriate care and follow up to high-risk patients.
• Use monthly reports to monitor patient outcomes, review results with providers, and take appropriate follow up action with patients.
• Performs nursing assessment/medical triage of acute medical issues and medication side effects and refers or monitors appropriately.
• Provides chronic disease and preventive screening education to clients/families/partners, internal staff and external agencies in an organized and appropriate manner.
• Works to assist clients in accessing support services by serving as a liaison with other community agencies and connect patients with financial assistance and entitlement resources as needed.
• Manages patient referrals and follow-up to other specialty medical, mental health, substance abuse and community services.
• Ability to read, analyze, and interpret documents, reports, technical procedures, governmental regulations, and correspondence; ability to write routine reports and correspondence; and ability to present information in one-on-one, small group, and large group situations to management and staff.
• Consults with physicians, health care providers and outside agencies regarding continued care/treatment.
• Use the Electronic Medical Record system according to established guidelines.
• Work as an interdisciplinary team member with Medical Group at MHP.
• Participates in training and education to foster continued professional growth and assure high quality care delivery.
• Provides assistance with direct nursing interventions such as venipuncture, wound care, vaccinations and other identified nursing responsibilities.
• Ensures billable procedures are correctly documented and submitted in a timely manner.
• Ability to work with mathematical nursing concepts.
• Ability to operate related computer applications (i.e. word processing and spreadsheet applications), and business equipment including personal computer, copy machine, fax machine, and telephone.

Job Responsibilities include but are not limited to: 

• A graduate from an accredited school of nursing and currently licensed as a Registered Nurse (RN) in the state of Iowa (or) a graduate from an accredited school of nursing and currently licensed as a Registered Nurse able to work in the state of Iowa. (Preferred)---OR---A graduate from an accredited school of nursing and currently licensed as a Licensed Practical Nurse LPN) in the state of Iowa (or) a graduate from an accredited school of nursing and currently licensed as a Licensed Practical Nurse able to work in the state of Iowa. (Required)
• Two or more years’ experience as an RN or LPN.
• Minimum 3 years clinical experience as RN or LPN required.
• Must have excellent computer skills and ability to learn new systems.
• Will be required to show proof of having completed Mandatory Reporter course at the time of hire or attend within 6 months of the start date.