Help Others, Make a Difference, Save a Life.

Do you want to make a difference in people's lives every day?
Or help people navigate the tough spots in their life?
And do it all while working where your hard work is appreciated?

You have a lot of choices in where you work…make the decision to work where you are valued!

Join the McNabb Center Team as the Healthlink RN Care Coordinator today!

The Healthlink RN Care Coordinator

Duties:

• Responsible for the clinical oversight of a minimum caseload of 250 patients.
• The HL RN Care Coordinator functions as the primary leader of all treatment teams, maintains contact with all external providers, coordinates medical care between providers (including external medical providers, specialists, pharmacy) and delegates care coordination, as clinically appropriate, to care coordinators.

JOB PURPOSE/SUMMARY

Summary of role of team:

• The Health Link Program, by virtue of the persons it serves, represents a place where the Center's vision is lived out on a day-to-day basis.
• The severe and persistently mentally ill (SPMI) population truly embodies the poorest of the poor and the sickest of the sick.
• Therefore, it is the philosophy of the Health Link Program to live up to this vision by reaching out to the SPMI, regardless of what situation they are in or where they are, and open a door of stability through mental health treatment.
• Health Link services are team-based, and services are provided by Bachelor Level Care Coordinators and RN Care Coordinators.
• These teams are designed to effectively coordinate health care services for TennCare members with the highest behavioral health needs.
• Health Link services are directed toward recovery and self-management of mental illness and provide the consumer/family an opportunity to improve their quality of life.
• Health Link services may be provided in the community or the office in settings that are accessible and comfortable to the consumer/natural support; frequency of contact is based on clinical need.
• Cultural and ethnic factors are taken into consideration in the delivery of these services.
• The services delivered by Health Link staff members are not time-limited, but are designed according to the needs of the individual being served.

Summary of position:

• The Health Link RN Care Coordinator is responsible for the clinical oversight of a minimum caseload of 250 patients.
• The HL RN Care Coordinator functions as the primary leader of all treatment teams, maintains contact with all external providers, coordinates medical care between providers (including external medical providers, specialists, pharmacy) and delegates care coordination, as clinically appropriate, to care coordinators.
• In addition, the RN HL Care Coordinator oversees the quality of HL services and ensures that quality metrics are being met.
• He/she will be responsible for providing health promotion, prevention and wellness management to patients.
• This position is also responsible for triaging medical phone calls, may require face to face triage as necessary to divert from ER, and is responsible for monitoring and coordinating post hospital care.
• The HL RN Care Coordinator will embrace the key values of clinical services: empowerment, normalization, rehabilitation, and continuity of care, as well as to adhere to HRMC policy and procedures.
• Provides clinical leadership to the HL team.
• Provides advocacy, linkage, and referral services as needed.
• Maintains appropriate chart records and completes all documentation in a timely manner.
• Initiates and updates comprehensive care management plans.
• Interfaces with MCOs, families, medical providers, courts, school systems and other agencies to coordinate care.
• Provides health education and prevention for chronic health conditions.
• Promotes health behaviors and self-care.
• Serves as a clinical specialist for medication management issues.
• Leads weekly treatment team meetings.
• Participates in care planning with medical providers as needed.
• Triages nurse calls and performs in person assessments as needed.
• Upholds center policy and procedures, and CARF standards.

TYPICAL WORKING CONDITIONS/ENVIRONMENT

• This position is an office-based position.
• Staff members are provided with all equipment necessary to perform their job responsibilities in their assigned office or on the treatment floor of the clinical setting.

JOB DUTIES/RESPONSIBILITIES

This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment.

JOB DUTIES/RESPONSIBILITIES

1. Works in a multi-disciplinary team approach to meet the clinical needs of SPMI consumers.

• Attends Treatment Team twice weekly without tardiness & participates; comes prepared with directives regarding HealthLink gaps, Potentially Not Benefitting updates, and Care Plan updates.
• Leads Treatment Team with HL Care Coordinators, HL Administrative Supervisors and Licensed Provider.
• Responds to all flags, emails, and voicemails within 1-2 business days.
• Attends supervision with program supervisor once weekly or as scheduled by immediate supervisor.
• Manages all Nurse Line Calls, Injections, Prior Authorizations, and refill requests.
• Provides crisis intervention and emergency services as needed.

2. Completes all documentation in compliance with CARF and funder standards.

• Completes all required clinical documentation in accordance with Center Policy and Procedure and funding source guidelines.
• Completes and signs EMR progress notes within two business days of encounter.
• Initiates and ensures that all clients have an up to date, care plan, crisis plan, DLA-20, Health Link Consent Form, updated ROI for natural supports and updated signature page at a minimum of every 6 months.
• Creates and coordinates treatment interventions that are reflected in progress note documentation based on the care plan goals.

3. Provide linkage and/or referral to primary care physicians and other external providers for treatment of medical needs.

• Provides care coordination for clients with mental health diagnosis and co-occurring chronic health condition.
• Provides Quality and Efficiency Coordination contacts for patients enrolled in the HealthLink Program.
• Ensures that all ct's have an up to date ROI for their PCP and any other medical providers.
• RN Care Coordinator will delegate and assist with the facilitation of care coordination between external medical provider, behavioral health provider, pharmacy, specialists, and / or guardians regarding health needs of the patient.
• 15% chart sample evidences that PCP linkage assistance was effectively provided or contains a documented decline.
• RN Care Coordinator will provide health education, promotion, and prevention promote with the patient and/or family.

4. Monitoring of treatment effectiveness and compliance, including assistance with medications.

• 15% chart sample evidences that RN HLCC assists with medication appt compliance.
• 15% chart sample evidences that RN HLCC assists with appointment attendance by addressing barriers.
• 15% chart sample evidences that cm has addressed medication compliance with ct.
• 15% chart sample evidences compliance with 7-day and 14-day aftercare appointments as scheduled.
• 15% chart sample demonstrates that all clients receive 2 contacts monthly, one of which must be face-to-face, or unsuccessful attempts have been made.

5. Monitoring of treatment effectiveness and compliance, including providing linkage to community supports, agencies or services that are appropriate for client.

• 15% chart sample demonstrates RN HLCC's knowledge of community resources and adequate linkage to community supports or agencies.
• 15% chart sample demonstrates RN HLCC promotion of health education with client and/or family on a monthly basis.
• 15% chart sample demonstrates family/client participation in Care Plan as evidenced by signatures on Care Plans.
• 15% chart sample demonstrates completion of Care Plan within 30 days of admission with input from Care Team.
• 15% chart sample demonstrates CSSR-S screening at each visit, Risk Review completion at each visit and crisis intervention as clinically appropriate.
• 15% chart sample demonstrates effective transition planning for clients discharging from an inpatient setting.
• 15% chart sample demonstrates monitoring and follow-up ensuring that all core quality and efficiency metrics are being met and documented.

6. Team Atmosphere

• Maintains professional and respectful communication with co-workers, other employees, clients, community organizations, and referral sources even when conflict arises.
• Works effectively as a team contributor on all assignments and exhibits accountability for assigned responsibilities.
• Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
• Is expected to have regular and predictable attendance and the ability to work cooperatively with others.
• Demonstrates a consideration and concern for fellow workers and their jobs and promotes harmonious relationships and attitudes.
• Accepts additional assignments and/or changes in assignment and/or work.
• Promotes an environment in which the culture and spiritual beliefs of the individual are respected.
• Provides ongoing daily support to all HL Care Coordinators in relation to any client's needs as part of a multidisciplinary team.
• Attends and engages in staff development activities as requested by supervisor.

COMPENSATION:

• Starting salary for this position is approximately $30.24 /hr based on relevant experience and education.

Schedule:

• This position has a regular schedule of Monday - Friday 8am - 5pm.
• There is no on-call for this position and employee is off on Center designated holidays.
• In person, daily attendance is essential for this position except in instances of approved time off.

Equipment/Technical Competency:

• Basic computer skills required.
• Experience with electronic medical record (EMR) preferred.

Equipment/Technology:

• This position does require basic computer skills for timekeeping and use of electronic medical records entry.

QUALIFICATIONS - Healthlink RN Care Coordinator

Experience / Knowledge:

• Associate/Bachelor degree from an accredited College/University.
• Experience in psychiatric nursing and acute care preferred.
• Must have the ability to present professionally, work within a team format, and have the mental ability to exercise sound, clinical judgment under pressure.
• Must have the ability to communicate effectively (both oral and written) and possess good time management and organizational skills.
• Basic computer skills required; experience with electronic medical record (EMR) preferred.
• Experience with interdisciplinary collaboration and care coordination preferred.

Education / License:

• Associate/Bachelor of Nursing degree with course work or experience in the areas of cultural diversity, human development, primary care, etiology and treatment of mental illness, alcohol and drug abuse, physical and sexual abuse, suicide, and intellectual developmental delays.
• Must have Registered Nurse license valid in Tennessee.

Physical/Emotional/Social - Skills/Abilities:

• Minimal exposure to biological hazards.
• Frequent exposure to unpleasant odors.
• Hearing of normal and soft tones.
• Close eye work.
• Lifting up to 50lbs.
• Pushing/pulling up to 250lbs.
• Frequent sitting, standing, walking, bending, stooping, and reaching.
• Required to be certified in and adequately implement verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, running, and walking.
• Physical de-escalation techniques will only be implemented at Helen Ross McNabb Center facilities, and not in community settings.
• Ability to effectively and ethically coordinate care for children, adults, and/or families.
• Ability to present professionally and work within a team format to plan, implement, and evaluate successful interventions.
• Ability to work within a team format to meet positive goals for adults and/or children and interface with other agencies involved in the ecology of the individual.
• Must have mental ability to exercise sound judgment under pressure.
• Ability to exercise sound judgment and effective decision-making, ability to set and demonstrate appropriate boundaries, ability to be an empathic listener, flexibility, willingness, and adaptability to working with diverse populations.
• Must also have the ability to communicate effectively and possess good time management and organizational skills.

Location:

• Knox County, Tennessee

Apply today to work where we care about you as an employee and where your hard work makes a difference!

Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.

Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply.