Job details

Nurse Coordinator - Community Care

Nashville General Hospital is hiring a Nurse Coordinator - Community Care for full-time Days!

Are you passionate about supporting patients in improving their health care and navigating them through the healthcare continuum? Are you a patient advocate, with excellent communication skills and who likes helping people? Nashville General Hospital is hiring a nurse coordinator for their Community Care Team, an innovative and patient-centered program that helps our patients and families navigate the Health Care System.

This position provides an integral role as an interdisciplinary team whose purpose is to improve the ability of patients designated as moderate and high risk to maintain and improve their health and avoid preventable emergency department visits and hospitalizations. The CCT Nurse Coordinator, with the assistance of the CCT multidisciplinary team, will ensure continuity and coordination of care across transitions, including hospital/community facility to home; will identify barriers and facilitate optimal care delivery, including addressing gaps, medical, pharmaceutical, and social needs; and will develop a comprehensive care plan to address those needs that include prevention, patient self-management, access to community resources and education about their chronic disease condition. *On-call and weekend coverage rotation*

As a Nurse Coordinator, you will:

Assist in the management of patients with chronic diseases following established protocols and systems for disease management in collaboration with providers.
Conduct home visits to assess patient needs, implement care plans, and follow up on patients
Create and maintain schedules for clinicians

Provides telephonic outreach and in-person consultation to members identified as medium and high risk, having a chronic condition(s) and in need of preventive services.
Collects in-depth health information about a member’s health history as well as assessing a member’s individual needs to assist in identifying higher-risk members and develop a comprehensive plan of care addressing these needs.

Provide patient and family education on prevention, early detection of exacerbations of chronic disease and development and implementation of a chronic disease action plan.
Conducts comprehensive nursing coverage for triage and assessments including medical, behavioral, and social needs of the patient identifying services patient has received, reasons for prior admissions and any gaps in care based on evidence based clinical standards and communicate findings with the patient's primary care physician.

Required Skills & Qualifications:

Active license to practice as a practical or registered nurse in the state of Tennessee
Bachelor’s degree in Nursing preferred
3 years of Clinical Experience preferred
BLS certification required

About Nashville General Hospital

Nashville General Hospital (NGH) is Nashville’s original community-based hospital. Joint Commission accredited, NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues to maintain its strong commitment to the healthcare needs of Nashville and Davidson County underserved, while also providing care to all segments of the community

Our benefits include:

Medical, Dental, and Vision Insurance within first 31 days of employment
Programs to reduce share of deductible and total out-of-pocket expenses
Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses
Short and Long-Term Disability - up to 60% of eligible weekly pay
Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
Retirement Plan - eligible up to IRS max limits and includes company contribution
Shift and Weekend Differential Pay Offered on Nights and Weekends
Tuition Reimbursement for employee and dependents
12 paid holidays - any holiday worked is another holiday banked
Flexible Spending Accounts
Free Parking for all employees

Nashville General Hospital is an Equal Opportunity Employer/Disability/Veteran.

#INDNUR2024

By Nashville General Hospital

Founded in 1890 as City Hospital, the area's original community hospital, Nashville General Hospital provides quality care for more than 58,000 patients each year, regardless of their ability to pay. Accredited by the Joint Commission, Nashville G...

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FUNDING

Nonprofit

DEPARTMENTS

Other

SENIORITY LEVEL REQUIREMENT

Mid-Level

TEAM SIZE

51-200

LOCATION