RN / REGISTERED NURSE - CARE COORDINATOR - CASUAL

Beebe Healthcare, Lewes, Delaware

About the role

Under the supervision of Beebe Healthcare Population Health Care Coordination leadership, the Care Coordination Clinical Nurse II (CC CN II) is a licensed professional Registered Nurse (RN) who provides care coordination services to patients in the home, primary care office, and community settings via face-to-face, telephonic, or virtual platform (telehealth). Upon successful completion of the required new employee 90-day probationary period onsite at the Population Health Building, the clinical nurse is responsible for assessing, monitoring, and providing ongoing care for patients followed by the Beebe Care Coordination episodic and longitudinal Chronic Care Management (CCM) programs.

This position requires knowledge of clinical nursing, health and wellness coaching, and care coordination. In collaboration with the patient and family as well as the multidisciplinary care team, the CC CN II helps each patient define and achieve their goals of care. As part of episodic or longitudinal CCM, the CC CN II supports the Beebe Medical Group (BMG) primary and specialty care providers and staff through population health management of high and rising risk patients by improving the efficiency, quality, and cost of health care services.

In this role, the CC CN II will be expected to collaborate with patients to facilitate healthy behaviors through health coaching to foster healthy diet, exercise, medication, and disease management. The CC CN II helps patients learn strategies and skills designed to stabilize symptoms and disease progression through ongoing support and reinforcement of the plan of care. This role positively impacts the patient's quality of care and ability to access care, reduces unnecessary costs, and capitalizes on revenue-generating opportunities.

Responsibilities

• Assists in the management of patients with chronic diseases following established protocols and systems for disease management in collaboration with providers.
• Promotes positive behavioral changes to facilitate medication compliance and reduction in tertiary care utilization.
• Assist patients with self-management of chronic disease process including patient goal setting, teach-back method of learning, and promotion of patient advocacy that extends into the wider community.
• Builds relationships with patients, functioning as a team member in the patient's continuum of care.
• Improves patient experience, mitigates avoidable hospital readmissions, closes care gaps, and identifies social determinant of health barriers that impact the patient's ability to maintain optimal health and wellness.

Requirements

• Strong communication and clinical skills.
• Licensed as a Registered Nurse (RN) in the state of Delaware.
• Knowledge of clinical nursing, health and wellness coaching, and care coordination.

Benefits

Become part of the Beebe team—an inclusive, mission-driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well-being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day.