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This position will cover Good Shepherd in Fostoria, NW Primary Care in Clyde, and Elmore.

This position facilitates integration with the primary care practice team to assure continuity of care and meet the preventative and chronic health needs of patients’ though relationship development, health promotion, collaborative self-management initiatives, and supportive care services.

Identify chronic and preventative patient needs. Establish and maintain positive working relationships with all key customers (physicians, office staff, patients, families, and interdisciplinary team). Collaborate with primary care practice team and patient to develop plan of care, with respect to ethnic and cultural diversity. Serve as an essential link between patients and all other care providers. Engage patient in self-management. Facilitate appropriate screenings for early disease detection. Coordinate patient access to necessary services, including community and public health resources. Oversee multidisciplinary appointments for consults and support services, including labs, diagnostics, social work, dieticians, etc. and facilitate as needed for optimum health outcomes. Collaborate with inpatient care management resources to follow patient through care continuum. Provide assessment and education utilizing clinically-sound, evidence-based guidelines. Provide timely, clinical documentation of patient encounters, using the EHR and other tools. Collect data, track outcomes, and support strategic planning initiatives Attend conferences, trainings, and meetings related to the care navigator program. Travel to designated physician practices or other health system/community sites, as needed. Participate in quality improvement initiatives. Complete special projects, as assigned by leadership team. Perform other duties as assigned

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BSN required; MSN preferred Active Registered Nurse licensure in state of OH and willing to obtain MI license Registered Nurse must have experience/certification that matches assigned practice specialty History of positive rapport with patients, families, physicians, and interdisciplinary team Applicable experience in patient education and knowledge of hospital and community resources Relevant experience in working with diverse populations Exceptional problem-solving, critical-thinking, organizational, interpersonal, and written/verbal communication skills Ability to work in self-directed environment with attention to detail and follow-through Computer literate; Microsoft Office competency required

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

Requisition ID: 81290