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Title:RN Care Coordinator (SUD/MAT)
Company:The Rinehard Clinic
Description:The Rinehart Clinic on the beautiful north Oregon Coast has an immediate opening for an RN Care Coordinator. This is a full-time or part-time position with Medical, Dental, and Vision benefits effective on the first day of employment.

Job Purpose: The priority of this position is to coordinate care for all patients including those diagnosed with opioid use disorder and engaged in medication-assisted treatment. This includes ongoing assessments, phone intakes, evaluations, triage, teaching, inductions, and stabilization. Reflects Rinehart Clinic’s values: Excellence, Caring, Integrity, Accountability, and Teamwork.

Duties:

Facilitates communication and coordinates care with community agencies including hospitals, treatment programs, mental health providers and other service providers. This also includes coordination between patients, family members, healthcare providers, behavioral health providers and social service agencies to improve patient outcomes and obtain information and/or access needed for appointments and resources.

Acts as primary RN Care Coordinator for the Medication Assisted Treatment (MAT) Program providing ongoing care management, education, and support for patients in all phases of treatment, including: nurse visits, urine toxicology screens, routine labs, medication teaching, monitoring, medication counts and medication refills.

Assesses and monitors patients in the induction, stabilization, and maintenance phases of treatment.

Integrates work with other staff to ensure timely and accurate patient flow before, during, and following clinic appointments (e.g., Inductions and/or UDS for SUD/MAT patients, behavioral health integration, etc.).

Triages urgent patient telephone calls and walk-ins using nursing assessment skills to determine appropriate level of care needed.

Understands and addresses social determinants of health, health literacy and translation need to reduce barriers to patient care. Coordinates care across the healthcare system, taking initiative to connect patients to external resources and follows up to ensure needs have been met.

Initiates pre-visit planning amongst care team, including advanced visit phone calls, updating the patient’s electronic medical record as appropriate.

Provides patients and families with education, individually or in a group setting.

Embraces trauma-informed care and recognizes the value of harm reduction. Understands substance use disorder to be a relapsing disease and supports patients during periods of resumed use.

Prepares for and leads daily Team-based Care Huddle(s) as part of the Oregon Primary Care Home (PCPCH) model, prompting for gaps in care and appropriate team hand-offs.

Identifies other population health needs, performs outreach and coaches patients/families toward successful self-management of chronic diseases or additional primary care health needs.

Documents all engagements in the patient’s medical record.

Involves the patient in the treatment plan and works with the patient’s needs. Initiates and documents follow-up for patients who do not meet their plan of care and/or health improvement goals.

Responsible for following-up with all patients discharged from emergency departments and hospitals.

Maintains patient confidentiality in alignment with HIPAA and 42CFR Part 2.

Assists in identifying clinic workflows that create barriers to patient care.

Stays current on evidence-based practices.

Participates in the Clinic’s quality improvement activities with a focus on reaching clinical goals for the population, utilizing the PDSA methodology.

Attends all appropriate meetings.

Complies with clinic’s policies and procedures.

Provides support and back-up for peers and team-based providers as needed.

Performs other related duties as assigned.

Skills/Attributes:

Compassionate, sensitive, culturally attuned to the people and community being served and able to communicate effectively.
Knowledgeable about the environment and healthcare system.
Technically proficient with computers, including Microsoft Office Suite.
Excellent oral and written communication skills.
Ability to organize and prioritize tasks, work under pressure and meet deadlines.
Flexible and willing to adjust to improve the patient experience.
Strong analytical, attention to detail, and problem-solving skills.
Ability to work independently, and as a team member.

Qualifications:

Licensed as a registered nurse in Oregon.
Bachelor’s degree preferred.
Two years of experience in a community health setting or experience working with specific patient population (SUD).
Must be able to pass national background check and drug screen.

Immunizations:

Hepatitis B
Physical Requirements:

Ability to communicate both in person and by phone.
Ability to lift up to twenty-five (25) pounds.
Ability to sit for long periods of time.
Ability to walk at a normal pace.
Manual dexterity when inputting computer information.
Exposure to normal noise, temperature, and dust and fume levels.

To Apply: For a complete job description, and details on how to apply, visit www.rinehartclinic.org/job-opportunities

Contact:Chad Bash, Human Resources Manager
Address:230 Rowe Street
Wheeler, OR 97147
Phone:8003685182, ext. 173
Email:


 


 

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