The RN Intake Coordinator (RNIC) is a Registered Nurse with years of diverse nursing experience and success in managing complex situations. The RNIC is an expert in clinical nursing knowledge for specific populations and chronic diseases. This position requires both internal and external interface by receiving and evaluating referrals and utilizing multiple tools and health insurance attribution lists to identify patients appropriate for care management services. The RNIC then makes assignments within the Community Care Network (CCN), other NAH teams, or to collaborators in the community. The RNIC will maintain up-to-date knowledge of the qualifying patient criteria for CCN programs, as well as the resources, capacity, capability, and expertise of CCN staff and community collaborators and use critical thinking and nursing judgement to refer patients to the appropriate resource. The RNIC may occasionally provide direct care management, coordinating across the care continuum, interfacing with the multi-disciplinary team to facilitate the best possible clinical outcomes and optimal level of wellness with the most appropriate resource, by collaborating with the interdisciplinary team to identify, assess, plan, implement, coordinate, monitor, and evaluate options and services in meeting the needs of high risk individuals and their complex medical needs. The RNIC will also compile data for quality improvement on readmissions, referrals, and throughput.

NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: 

Alabama

Arizona

Florida

Georgia

Idaho

Indiana

Kansas

Michigan

North Carolina

Ohio

Oklahoma

Pennsylvania

South Carolina

Tennessee

Texas

Virginia

Care Coordination
* Develop a relationship with community collaborators, primary care providers, specialty services, emergency services, and hospital networks required for inter-disciplinary care management.

* Utilizes hospital, community and national resources to maintain and enhance knowledge and expertise of the care management team.

* Proactively screen and assess the acuity and transitional needs of the patient.

* Identify appropriate consultative services that would enhance patients timely transitional plan.

* Collaboration with inpatient care management and primary care to facilitate the transition to a lower level of care or into chronic care management.

* Collaborates and communicates with the clinical manager regarding staff case loads and capacity.
 
Utilization Management
* Monitors outcomes and develops process change to improve care.

* Understands CMS requirements and Readmission penalties.

* Facilitates the management of care in an outpatient setting.

* Takes a leadership role in identifying opportunities to reduce risk both financial and clinical, through analysis and resources consumption outcomes.

* Assertively manage resource utilization while appropriately navigating patient movement along the continuum of care.

 
Data Integrity
* Respects and upholds patient rights, demonstrates professional integrity, maintains patient confidentiality, discloses all potential or perceived conflicts of interest when appropriate; accepts responsibility and accountability for professional competence.

* Ensures appropriate documentation in the electronic medical record.

 
Clinical Knowledge/Patient Care
* Evaluate attributed patients identified to provide clinical care management risk attribution.

* Understands complex medical terminology and standard care process.

* Evaluates patient's approximate risk for poor outcomes based on diagnoses, socioeconomic conditions, and previous response to treatment, and prioritizes assignments based on patient's needs and staff resources.

* Understands acute, transitional, and chronic care management and the potential benefits to patient outcomes.

* Addresses patient, family, and provider concerns, communicates issues and solutions through appropriate channels.

* Participates in the mentoring and education of colleagues and students.

 
Compliance/Safety
* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.

* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job-specific training in the specified time frame.

Education
Bachelor’s Degree in Nursing- Required if hired after December 2018

Master's Degree in Nursing- Preferred

Certification & Licensures
Current, unrestricted Registered Nurse license in the State of Arizona- Required

Basic Life Support Certification (American Heart Assoc.)- Required for Clinic Based Staff

Case Management Certification- Preferred

Experience
Two years as a Registered Nurse- Required

Care Management or Nurse Navigator experience- Preferred

May work remotely

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.