Arbor Health, an equal-opportunity employer, offers competitive compensation and excellent benefits for our employees.
Arbor Health is committed to providing a drug-free work environment. Pre-employment substance abuse screening is required as a condition of employment.
Information regarding the Family and Medical Leave Act (FMLA) can be found here.
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Provides complex and diversified support to the Care Team (provider, medical assistant, nurse, etc.) by coordinating care for patients. Focus on health maintenance and those with serious, complex, or chronic health problems, or those with psychosocial issues. Work from a team approach, and in continuous partnership with patients and providers to promote: timely access to needed care, comprehension and continuity of care, and the enhancement of patient well-being.
- Preferred: Master’s degree in Social Work or Psychology. (Preference given if your degree program or professional training emphasizes primary care behavioral health coursework or clinical practicum experience)
- Registered Nurse. Current Healthcare provider CPR certification, American Heart Association BLS, or obtain within first 6 months of employment.
- Preferred: License for independent clinical practice, or seeking licensure, in the State of Washington or have the necessary clinical training to acquire licensure. Any one of the following licenses is preferred for this position:
- Licensed Independent Clinical Social Worker (LICSW/A)
- Licensed Mental Health Counselor (LMHC/A)
- Licensed Marriage and Family Therapist (LMFT/A)
- Licensed Advanced Social Worker (LASW/A)
- Active State of Washington RN
- At least one year relevant experience in a clinical setting required, outpatient care and service of patients with chronic disease preferred.
- Knowledge of medical terminology.
- Philosophy and values consistent with a patient-centered care model.
- Professional and effective written and verbal communication skills with the ability to identify and employ communication strategies appropriate to the audience.
- Strong leadership, organizational and analytical skills
- Ability to create, model and sustain a positive environment; effective collaboration, counseling and conflict resolution skills
- Ability to work proactively and effectively in a team as well as independently.
- Demonstrated problem solving skills in a complex environment while exercising independent judgement in managing and coordinating care.
- Must have reliable and predictable attendance.
- Ability to manage multiple priorities and display flexibility in a fast paced and changing work environment.
- Proficiency working in an electronic medical record system and Microsoft Outlook, Work, and Excel.
Primary job responsibilities:
- Collects data and contributes to goal-oriented care and treatment plans, such as patient records, interviews, observation and team members. Coordinates team-based care through effective partnerships with patients, their caregivers, and their providers.
- Work is generally performed independently requiring judgment and problem-solving skills with limited supervision to proactively identify patients in the practice for specific diagnosis and preventative care needs.
- Develop and maintain patient registry to evaluate and analyze patient records based on Primary care “best practices” for patient who need assistance navigating through the healthcare system. May facilitate access to specialty providers as well as other care coordination team support specialists (e.g. Diabetes Educator, Registered Dieticians).
- Serves as the point-of-contact, advocate and informational resource for assigned patients, family, care team and community resources. Proactively acts as patient advocate; responding with empathy and respect to resolve patient/family concerns.
- Serve as a medical home quality improvement team member, assist with improvement of work flows through PDSA Cycles and measurement of quality indicators. Participates in care coordination, discharge planning and patient navigation meetings and training opportunities.
- Participate in team huddles and evaluation of team data for proactive panel management. Reviewing clinic schedules and patient charts to assist the care team in coordinating care for visits and identifying preventive healthcare needs. Scheduling patients for preventative care needs after communicating with patient/family.
- Work with clinic team on developing standards, implementation, and maintenance of programs in chronic disease management for patients. Maintains awareness of policies and procedures and performance standards. Actively develops and maintains professional and clinical skills.
- Additional clerical duties as assigned.
Standard for portrayal of mission and values:
- Employee demonstrates and fosters the Lewis County Hospital District No. 1 values of achievement, creativity and innovation, teamwork, quality, and integrity.
- Employee demonstrates and fosters the mission of Lewis County Hospital District No. 1 to provide our highest level of compassionate, diligent and professional medical care.
- Is cooperative and supportive to others within the department and hospital providing care and services.
- Treats individuals including patients, co-workers, supervisors, management, patient families, physicians, volunteers, visitors and others with respect, dignity and fairness.
- Behaves professionally and ethically in all interactions with patients, co-workers, supervisors, management, patients' families, physicians volunteers, and others.
- Is consistently courteous to patients, co-workers, supervisors, management, patient’s families, physicians, volunteers and others; greets individuals and provides assistance and direction in an attentive and helpful manner.
- Willingly strives at continuous quality improvement to achieve quality work the first time every time.
- Is willing to learn new procedures and develop new skills for the purpose of improving quality of care and services.
- Willingly participates as a member of work team(s) supporting the goals and objectives of the department and the district.
- When answering the telephone, is courteous to caller, clearly identifies department, name and takes a message or directs calls as necessary in a helpful manner.
Open until filled