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Spoke RN Care Nurse - Saint Albans Vermont
Company: BayMark Health Services
Location: Saint Albans, Vermont
Posted On: 10/18/2024
Blueprint RN Care Coordinator BAART is looking for an adaptable and effective Registered Nurse (RN) to coordinate care of patients receiving Medication Assisted Therapy (MAT) for opioid addiction. The RN Care Coordinator will be a part Vermonts Hub and Spoke care team, responsible for providing specialized nursing and care management to support patients in recovery. An ideal candidate assures team-based care and helps primary care providers balance MAT patient care with the needs of their full patient panel.Essential Duties & Responsibilities: - Health Home Services / Activities: Team with a Clinical Care Coordinator, to provide health home services to a panel of 100 MAT patients (per Full-Time Equivalent of care coordination).
- Comprehensive Care Management: Activities undertaken to identify patients for Medication Assisted Therapy, conduct initial assessments, and formulate individual plans of care.
- Care Coordination: Implementation of individual plans of care (with active patient involvement) through appropriate linkages, referrals, coordination and follow-up as needed to services and supports across treatment and human services settings and providers.
- Health Promotion: Activities that promote patient activation and empowerment for shared decision making in treatment, healthy behaviors, and self-management of health, mental health, and substance abuse conditions.
- Comprehensive Transitional Care: Care coordination focused on planned, seamless transitions of care through streamlining the movement of patients from one treatment setting to another, between levels of care, and between health and specialty MH/SA service providers.
- Individual and Family Support: Assisting individuals to fully participate in treatment, reducing barriers to access to care, supporting age and gender appropriate adult role functioning, and promoting recovery.
- Referral to Community & Social Support Services: Assisting clients obtain and maintain eligibility for formal supports and entitlements (e.g., health care, income support, housing, legal services) and to participate in informal resources to promote community participation and well-being.
- Health Home Quality Measures: In collaboration with the Care team, tracking and reporting Health Home Quality Measures.
- Maintains safe work practices, confidentiality, professional demeanor and appearance.
- Other duties, as assignedQualifications:
- Graduate of accredited school of nursing with valid Vermont State Registered Nurse License required.
- Five years of clinical nursing experience required. Experience in mental health settings or substance treatment program highly preferred, experience in a physician practice or case management highly preferred. Case management certification preferred.
- Ability to establish a therapeutic relationship with patients and support resources (family or friends).
- Strong organizational skills with ability to manage numerous cases effectively.
- Skilled at process and clinical outcomes improvement using quality improvement methodologies, including tracking and reporting measures.
- Ability to effectively use Microsoft Office suite of products, Web-based applications for assessing and managing addiction, multiple physician electronic medical records, patient registries, and BAART Programs information system, Methasoft.
- Reliable transportation, valid drivers license and automobile insurance required.Benefits:
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