Join to apply for the Lead Registered Nurse Care Coordinator role at Health Care for the Homeless
Key Details
Schedule: 4 days a week, 32 hours a week.
Location: Essential, on-site role at 421 Fallsway Main Clinic
Number of Direct Reports: 1
Status: Exempt
Overview The Lead RN Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and established policies and procedures.
What You'll Do Trains and coaches’ staff, sets clear expectations, monitors outcomes, creates a culture of open communication and helps team members solve complex problems through individual supervision and team meetings.
Manages a caseload of high-risk patients with chronic conditions, providing complex case management.
Assesses and addresses the physical, functional, social, psychological, environmental, learning, and financial needs of patients.
Works collaboratively with care teams to maximize quality of life as well as reduce avoidable admissions, re-admissions and ED visits.
Delivers health education and counseling, drawing upon the individual’s strengths and motivation to explore lifestyle choices, preferences, and safety concerns.
Perform clinical tasks as appropriate based on license and training including health education groups.
Completes clear and timely documentation within electronic health record in a manner that is consistent with MDPCP and agency standards.
Oversees AHEAD model’s (e.g. MDPCP) day-to-day operations to ensure success of the program.
Knowledge, Experience And Skills Possess current licensure as a Registered Nurse in Maryland
Bachelor’s in nursing preferred; associates in nursing required plus 5 years of relevant work experience may be substituted
Possess current BLS CPR
Personal vehicle and valid Maryland driver’s license
Experience Two years of clinical nursing
Two years of case management experience preferred (can be concurrent with clinical experience)
Experience working with individuals who have behavioral health disorders preferred
Supervisory experience preferred
Skills Able to work well with clients from diverse backgrounds
Possess strong verbal and written communication skills
Willingness to integrate principles into practice such as Harm Reduction, Motivational Interviewing and Housing First
Strong organizational and time management skills
Able to cope with interruptions and be a team player
Flexible approach, working with several cross-disciplinary teams in a collaborative style
Approaches change with a positive, open-minded attitude
Able to work with ill, disabled, emotionally upset, and sometimes hostile clients
Key Agency Responsibilities Models and reinforces the agency core values of dignity, authenticity, hope, justice, passion and balance
Actively participates in performance improvement activities and actively participates in advocacy activities that support the mission
Performs other duties on an as-needed basis
Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant Health Care related IT security regulations
Why Join Us? Be part of a mission-driven team committed to racial equity, social justice, and community wellness.
Work in a dynamic, people-first organization that centers compassion, authenticity, and hope.
Receive training and support to grow in your advocacy and peer work.
Help shape the future of housing and recovery services in Baltimore.
Health Care for the Homeless is an equal opportunity employer.