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RN Care Coordinator
Job Posted
December 7, 2024 7:42 PM
Location
Remote WFH
Compensation
$85,000 - $95,000 per year
Status:
Full-time
#communityhealth #healthequity #latinohealth #healthcare
About Us
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente. Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life.
Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don’t speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings.
We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve.
We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve.
Role Description
Zócalo Health is seeking a skilled and empathetic RN Care Coordinator to provide clinical care coordination for patients receiving services from our interdisciplinary team of board-certified physicians, nurse practitioners, and licensed behavioral health therapists. This role also includes managing a panel of patients enrolled in clinical case management for chronic diseases, ensuring they receive comprehensive and coordinated care.
Additionally, the RN will triage clinical escalations, respond to urgent patient needs, and provide patient education to support self-management of chronic conditions. This role requires excellent organizational and clinical skills, as well as a passion for patient-centered care.
The ideal candidate is a highly organized, mission aligned, proactive team player with strong clinical skills and a passion for patient-centered care.
About the Role
Clinical Care Coordination
Serve as the primary clinical point of contact for patients, ensuring seamless coordination of care across medical and behavioral health services, both internally with Zócalo Health providers and externally with specialists and other providers.
Facilitate timely referrals to specialty care, diagnostic tests, or community resources as needed.
Work collaboratively with Zócalo Health physicians and nurse practitioners to support implementation of care.
Promote health literacy by using culturally and linguistically appropriate materials and communication strategies.
Support patients in navigating barriers to care, such as transportation or understanding care instructions.
Chronic Disease Case Management
Manage a dedicated panel of patients enrolled in clinical case management for chronic diseases such as diabetes, hypertension, and heart disease.
Conduct regular check-ins with patients to monitor condition management, medication adherence, and lifestyle modifications.
Develop and maintain detailed care plans to support achieving patient-led health related goals.
Provide education and coaching to empower patients to self-manage their chronic conditions effectively.
Educate patients and their families on health conditions, treatment plans, and available resources.
Clinical Escalation and Triage
Triage incoming clinical escalations, providing guidance to patients and collaborating with the care team to address urgent medical concerns.
Ensure appropriate documentation and follow-up for all escalations and interventions.
Team Collaboration and Documentation
Collaborate with the interdisciplinary care team to ensure patients receive comprehensive and coordinated care.
Accurately document all care coordination activities, clinical escalations, and patient interactions in the electronic health record (EHR), ensuring compliance with organizational policies.
Participate in team meetings, case conferences, and quality improvement initiatives.
Requirements for the Role
Education and Licensure
Current and unrestricted Registered Nurse (RN) license in California.
Bachelor’s Degree in Nursing (BSN).
Experience
Minimum of 2 years of nursing experience in care coordination, case management, or chronic disease management.
Experience in culturally diverse or underserved communities preferred.
Familiarity with electronic health records (Athena preferred) and case management tools.
Fluency in both English and Spanish.
Skills and Competencies
Strong clinical knowledge and ability to triage and address medical concerns effectively.
Excellent communication and interpersonal skills.
Ability to manage multiple priorities in a fast-paced, patient-centered environment.
Experience working in an early stage start up environment.
Commitment to improving health equity and supporting underserved communities.
Benefits & Perks
Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company
Comprehensive benefits (medical/dental/vision)
Generous home office stipend
Competitive compensation
Generous PTO policy including 6 paid holidays.
You must be authorized to work in the United States. We are open to remote work anywhere in the locations outlined in this job description.
At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
How to Apply
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