Description:
North Star Health, an independent Federally Qualified Health Center comprised of multiple PCMH practices delivering team-based care in Southern VT and Southwestern New Hampshire, is seeking Clinical Care Coordinator based at our Springfield Health Center.
In this pivotal role, you will engage individuals seeking to prevent and manage chronic conditions, identify their priorities for their care, develop a care plan and coordinate its implementation in partnership with the patient, their care team and community partners.
In this role you will:
Promote and work to achieve our mission and vision "to connect with and care for our community so everyone may enjoy health and wellness".
Assess patient's clinical, social, functional and continuing care needs to identify their priorities and the desired outcomes for their treatment.
In consultation with the patient, their care team and related partners, develop a care plan including immediate, short term, and long-term goals reflecting patient's priorities and time frames to achieve desired outcomes.
Demonstrate knowledge and understanding of the client's diagnosis, prognosis, care needs, as well as cost and barriers to goal achievement.
Assist in transition of care though patient outreach, communication with relevant service providers following discharge from other care settings to ensure a smooth transition to outpatient care, with the goal of decreasing readmissions.
Communicate with patients and families in an effective, patient-centered manner; coordinate with other team members to provide exceptional patient service.
Maintain positive working relationships and demonstrate exceptional customer service skills.
Work cooperatively, address conflict and communicate effectively with all providers, team members, patients and their families
Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support
Provide Chronic Care Management services as appropriate to eligible patients
Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.
Supports patient self-management of disease and behavior modification interventions.
Proactively outreaches to selected patients, perform home visits as necessary for assessment and engagement
Participates in quality improvement activities, collecting and analyzing data
Requirements:
Experience with Care Planning
Two (2) year's nursing experience
Excellent communication skills
Proficiency with Microsoft Office, computer skills
Current LPN License
One (1) Two (2) years' experience in case management (preferred)
Current RN License (preferred)
Interested candidates should provide a cover letter addressing the scope of the role , in addition to completing the application.
All new hires are required to show proof of COVID vaccination or request an exemption prior to starting work.
PI1c9fd77ef973-26***
Receive real-time job alerts and never miss the right job again
Fusion Medical Staffing Nursing
US - VT - VT - Randolph
November 13, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Randolph, Vermont. & Requirements • Specialty: Labor and Delivery • Discipline: RN • Start Date: 12/02/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment...
Fusion Medical Staffing Nursing
US - VT - VT - Springfield
November 12, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Springfield, Vermont. & Requirements • Specialty: Med Surg / Telemetry • Discipline: RN • Start Date: 01/06/2025 • Duration: 26 weeks • 36 hours per week • Shift: 12 hours, nights •...
Fusion Medical Staffing Nursing
US - VT - VT - Windsor
November 11, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Rehabilitation for a travel nursing job in Windsor, Vermont. & Requirements • Specialty: Rehabilitation • Discipline: RN • Start Date: 12/09/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel...
Fusion Medical Staffing Radiology
US - VT - VT - Burlington
November 14, 2024
Fusion Medical Staffing-Radiology is seeking a travel Mammography Technologist for a travel job in Burlington, Vermont. & Requirements • Specialty: Mammography Technologist • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 6 weeks • 40 hours per week • Shift: 8 hours •...
Fusion Medical Staffing Nursing
US - VT - VT - Burlington
November 13, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Burlington, Vermont. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: 12/09/2024 • Duration: 29 weeks • 36 hours per week • Shift: 12 hours • Employment Type:...
Fusion Medical Staffing Nursing
US - VT - VT - St. Johnsbury
November 13, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in St. Johnsbury, Vermont. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 11/25/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel...
Fusion Medical Staffing Home Health
US - VT - VT - Newport
November 12, 2024
Fusion Medical Staffing-Home Health is seeking a travel nurse RN Hospice for a travel nursing job in Newport, Vermont. & Requirements • Specialty: Hospice • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 32 hours per week • Shift: 8 hours, days • Employment Type: Travel Facility...
Fusion Medical Staffing Radiology
US - VT - VT - Morrisville
November 11, 2024
Fusion Medical Staffing-Radiology is seeking a travel CT Technologist for a travel job in Morrisville, Vermont. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 12/03/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type:...
US - VT - VT - Saint Johnsbury
November 13, 2024
CrossMed is seeking a travel nurse RN Orthopedics for a travel nursing job in Saint Johnsbury, Vermont. & Requirements • Specialty: Orthopedics • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel Job Details • Gross Weekly Pay: $...
Fusion Medical Staffing Nursing
US - VT - VT - Burlington
November 13, 2024
Fusion Medical Staffing-Nursing is seeking a travel CVOR Technologist for a travel job in Burlington, Vermont. & Requirements • Specialty: CVOR Technologist • Discipline: Allied Health Professional • Start Date: 12/02/2024 • Duration: 16 weeks • 36 hours per week • Shift: 12 hours, days • Employment...
US - VT - VT - Berlin
November 12, 2024
CrossMed is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Berlin, Vermont. & Requirements • Specialty: Labor and Delivery • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel Job Details • Gross Weekly...
Fusion Medical Staffing Radiology
US - VT - VT - Brattleboro
November 12, 2024
Fusion Medical Staffing-Radiology is seeking a travel MRI Technologist for a travel job in Brattleboro, Vermont. & Requirements • Specialty: MRI Technologist • Discipline: Allied Health Professional • Start Date: 11/18/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment...
US - VT - VT - St Albans
November 12, 2024
Epic Travel Staffing Allied is seeking a travel Echo Technician for a travel job in St Albans, Vermont. & Requirements • Specialty: Echo Technician • Discipline: Allied Health Professional • Start Date: 12/02/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type:...
Fusion Medical Staffing Home Health
US - VT - VT - Colchester
November 11, 2024
Fusion Medical Staffing-Home Health is seeking a travel nurse RN Hospice for a travel nursing job in Colchester, Vermont. & Requirements • Specialty: Hospice • Discipline: RN • Start Date: 11/18/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Facility...
Fusion Medical Staffing Nursing
US - VT - VT - Randolph
November 15, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Randolph, Vermont. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 11/25/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Facility...
Fusion Medical Staffing Radiology
US - VT - VT - Burlington
November 13, 2024
Fusion Medical Staffing-Radiology is seeking a travel MRI Technologist for a travel job in Burlington, Vermont. & Requirements • Specialty: MRI Technologist • Discipline: Allied Health Professional • Start Date: 12/16/2024 • Duration: 20 weeks • 36 hours per week • Shift: 12 hours, nights •...
MedPro Healthcare Allied Staffing
US - VT - VT - Burlington
November 14, 2024
MedPro Healthcare Allied Staffing is seeking a travel MRI Technologist for a travel job in Burlington, Vermont. & Requirements • Specialty: MRI Technologist • Discipline: Allied Health Professional • Start Date: 12/16/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights •...
US - VT - VT - Burlington
November 13, 2024
Host Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Burlington, Vermont. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: 12/16/2024 • Duration: 26 weeks • 40 hours per week • Shift: 10 hours • Employment Type: Travel Host...
US - VT - VT - Rutland
November 13, 2024
American Traveler is seeking a travel nurse RN Telemetry for a travel nursing job in Rutland, Vermont. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: 12/02/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel American Traveler is...
Fusion Medical Staffing Long Term Care
US - VT - VT - Berlin
November 14, 2024
Fusion Medical Staffing-Long Term Care is seeking a travel nurse RN Long Term Care for a travel nursing job in Berlin, Vermont. & Requirements • Specialty: Long Term Care • Discipline: RN • Start Date: 11/25/2024 • Duration: 16 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type:...
US - VT - VT - Springfield
November 14, 2024
GQR Healthcare is seeking a LPN / LVN for a travel job in Springfield, Vermont. & Requirements • Specialty: • LPN / LVN • Discipline: • LPN / LVN • Start Date: • 11/19/2024 • Duration: • 13 weeks • 36 hours per week • Shift: • 12 hours, nights • Employment Type: • Travel GQR Healthcare is...
US - VT - VT - Springfield
November 12, 2024
Epic Travel Staffing Allied is seeking a travel Physical Therapist for a travel job in Springfield, Vermont. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 12/02/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Job...
US - VT - VT - Burlington
November 14, 2024
LRS Healthcare - Travel Nursing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Burlington, Vermont. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: 01/01/2025 • Duration: 13 weeks • 40 hours per week • Shift: 10 hours, days • Employment...
Fusion Medical Staffing Nursing
US - VT - VT - Townshend
November 13, 2024
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Townshend, Vermont. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 32 hours per week • Shift: 8 hours, days • Employment Type: Travel Facility...
US - VT - VT - Springfield
November 11, 2024
Epic Travel Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Springfield, Vermont. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: 12/02/2024 • Duration: 26 weeks • 36 hours per week • Shift: 12 hours, days • Employment Type: Travel Job Opportunities...
US - VT - VT - Burlington
November 13, 2024
Epic Travel Staffing is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Burlington, Vermont. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: 12/16/2024 • Duration: 26 weeks • 40 hours per week • Shift: 10 hours • Employment Type: Travel Job...
US - VT - VT - Randolph
November 14, 2024
OneStaff Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Randolph, Vermont. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 12/05/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Medical-Surgical nurses...