Greater Seacoast Community Health

In collaboration with QI and Population Health Manager, Healthcare Data Coordinator, and Clinical Manager and Director, assists in creating and maintaining care management systems to prospectively identify and track patients who are at highest risk of chronic disease, or who are high utilizers of the health care system to assist in population health management.. Our network of not-for-profit community health centers includes Families First Health & Support Center in Portsmouth, Goodwin Community Health in Somersworth and Lilac City Pediatrics in Rochester.. Our health centers provide primary care, pediatric care, dental care, prenatal care, behavioral health counseling, substance use disorder treatment, mobile health services, WIC, social work services, a pharmacy, parenting classes, playgroups and home visiting.. Services are open to all and aim to be team-based, respectful, recovery-friendly, LGBTQ-affirming and trauma-informed.. We are recognized as a Patient-Centered Medical Home and a Family Resource Center of Quality.

sign on bonus

Complex Care Nurse – Full Time As the Complex Care Nurse, you will provide patient-centered complex care in close collaboration with the primary care provider, medical assistant, and multidisciplinary departments; including but not limited to: triaging acute illnesses, patient education, monitoring controlled medication refills, tracking remote patient monitoring trends, transition of care from hospitals, coordination of care with outside agencies, and nurse visits. Come to work every day knowing your efforts make other people’s lives better. You’ll be part of a supportive, dynamic, multidisciplinary team – including medical, dental and behavioral health care providers, social workers, family workers and others – working together to meet the needs of the whole person. Your days will be busy, varied and interesting. And you’ll have opportunities for career growth: Many employees take on new challenges and increasingly responsible positions during their years with us. Salary Range: $28.00- $36.00 Job Duties <ul><li>Effectively triages acute patients’ complaints. </li><li>Provides accurate, detailed, and effective medical assessments to provide safe, efficient, and accurate nursing knowledge. </li><li>Supports the patient in improving access to health resources and social services.</li><li>Supports the primary care team in meeting performance measures and quality improvement goals.</li><li>Collaborates with all members of the care team to coordinate and manage care for patients. </li><li>Provides a culture of safety by providing safe, high quality care to patients.</li><li>Performs health screening procedures under the direction of the Provider, including lab procedures (e.g., lead screening, hematocrit, and immunizations). </li><li>Participates in the preparation of patients’ charts. As directed by the Provider, assists with the patient intake and discharge procedures.</li><li>In collaboration with QI and Population Health Manager, Healthcare Data Coordinator, and Clinical Manager and Director, assists in creating and maintaining care management systems to prospectively identify and track patients who are at highest risk of chronic disease, or who are high utilizers of the health care system to assist in population health management. </li><li>Proactively engages patients in their care with strategies to improve self-management, including assisting patients in identifying and improving upon self-management goals. Provides patient/family/caregiver education and acts as the patient advocate in the delivery and coordination of patient care. </li><li>Collaborates with all clinical staff to ensure care coordination elements of a Patient Centered Medical Home are being met. </li><li>Facilitates coordinated continuity of care for patients, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plans, especially as a result of care transitions. </li><li>Demonstrates teamwork and collaboration with provider and other members of the care team. </li></ul>Qualifications Education: BSN License: Current New Hampshire Nursing license required Experience: Experience in primary care and ambulatory healthcare setting. Experience with psychiatric care and/or chronic disease management preferred. Other: Current Basic Life Support (BLS) certification required. Experience with electronic health records a plus. The Ideal Candidate Will Also Have <ul><li>Ability to work harmoniously with coworkers and patients</li><li>Experience working with diverse and vulnerable populations </li><li>Excellent communication and listening skills</li><li>Organizational skills</li><li>Strong clinical and assessment skills</li><li>Compassionate and nonjudgmental attitude </li></ul>Work Location(s): Goodwin Community Health, Somersworth, NH Hours Per Week: 40 (8:00am – 5:00pm) with flexibility for the right candidate Days: 5 (Monday – Friday) with flexibility for the right candidate Job Status: Full Time, Hourly (Non-Exempt) Eligible for Benefits: Yes Bonus: This position is eligible for a one-time sign-on bonus of up to $5,000.00 Benefits Our comprehensive benefits package includes health, dental and vision insurance with an agency subsidy. One of our health plans has a no-premium option for employee-only coverage. We also offer a 401(k) plan with an employer match and employer-paid group term life insurance and short-term disability coverage. Voluntary benefits include long-term disability coverage, Flexible Spending Account, and access to discounted auto and home insurance, pre-paid legal assistance, and more. We offer earned time (vacation and sick leave) plus seven (7) paid holidays. Eligibility starts at 24 hours/week, with full benefits offered at 32 hours/week and above. About Us Greater Seacoast Community Health’s mission is to deliver innovative, compassionate, integrated health services and support that are accessible to all in our community, regardless of ability to pay. Our network of not-for-profit community health centers includes Families First Health & Support Center in Portsmouth, Goodwin Community Health in Somersworth and Lilac City Pediatrics in Rochester. Strafford County Public Health Network and SOS Recovery Community Organization also are affiliated with Greater Seacoast. Our health centers provide primary care, pediatric care, dental care, prenatal care, behavioral health counseling, substance use disorder treatment, mobile health services, WIC, social work services, a pharmacy, parenting classes, playgroups and home visiting. Services are open to all and aim to be team-based, respectful, recovery-friendly, LGBTQ-affirming and trauma-informed. We are recognized as a Patient-Centered Medical Home and a Family Resource Center of Quality. Learn more at GetCommunityHealth.org. Greater Seacoast Community Health is an Equal Opportunity provider of health care and other services and an Equal Opportunity employer. PI236781208

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