Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
As Care Coordinator, you will work collaboratively with multidisciplinary team staff across the continuum of care for high-risk patients. You will focus on patient outreach and ensuring they receive the assistance and treatment they need to promote wellness and optimal outcomes. In this position, you not only have the chance to make a meaningful difference in your community but also the opportunity to develop an exciting career in healthcare.
This is a regular PRN position working remotely Monday through Friday between 8:00 a.m. -- 5:00 p.m. with the option to work either four- or eight-hour shifts various days a week.
A caregiver who excels in this role will:
Identify which patients have ongoing care coordination needs and outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator.
Conduct targeted outreach to a defined panel of high-risk patients (chronic illness, lack of social support, readmissions, ED visits, surgical episodes, etc.) to ensure timely and efficient care delivery across the continuum of care.
Utilize technological tools (registries, patient lists, care team tab, etc.) to manage populations and conduct comprehensive clinical assessments, including disease-specific, age-specific, medical, behavioral pharmacy, social and end of life needs of each patient.
Inform the patient and family regarding coordination of their care, share information with the healthcare team and collaborate with interdisciplinary team to develop goals and plan interventions to maximize patient outcomes.
Perform reassessments of patient progress toward goals and update plan of care as appropriate.
Ensure care gaps are closed around specialty disease/chronic disease/surgical episodes.
Serve as primary patient contact for team and the liaison between patients, families, physicians and clinical staff by advocating for patients and families.
Assist in managing transitions of care across settings, ensuring optimal communication and planning, and identifying barriers to receiving care and facilitating solutions.
Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others.
Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.
Work with the patient and family to assess current knowledge, health literacy and readiness to change, utilizing teaching back to assess level of knowledge.
Coach patients and family on self-management support; including setting long- and short-term goals.
Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks.
Minimum qualifications for the ideal future caregiver include:
Graduate from an accredited school of Professional Nursing
Current state licensure as a Registered Nurse (RN)
Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
Three to five years of nursing experience
Preferred qualifications for the ideal future caregiver include:
Bachelor’s of Science in Nursing (BSN)
Specialty certification
Adult care or med/surg background
Recent clinical experience working in a med surg, ambulatory, inpatient or pulmonary setting
Physical Requirements:
Requires full range of motion, manual and finger dexterity and eye-hand coordination.
Requires corrected hearing and vision to normal range.
May requires some exposure to communicable diseases or bodily fluids.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.
Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
Personal Protective Equipment:
Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/
Please review the Equal Employment Opportunity poster.
Cleveland Clinic is pleased to be an equal employment opportunity employer.