JOB SUMMARY: The Refugee Coordinator is responsible for facilitating care coordination services for refugee patients in need of enhanced care coordination services, particularly those at high risk or with chronic disease. Their role is to improve health outcomes through coordinating care, educating patients, building trust between patients and medical practitioners, and enhancing communication and continuity of care. Eligible patients will be ensured that they will receive timely, high quality and efficient health care and support services through the development of a multi-disciplinary care plan, self-management goals, and referrals to both internal and external resources. The Refugee Coordinator role is key to creating a patient centered environments for all patients.

ORGANIZATIONAL DUTIES AND RESPONSIBILITIES

• Support the mission, vision and philosophy of Spectra Health as evidenced by compliance with all organizational policies and procedures.
• Supports and facilitates positive interaction with others as evidenced by: professional maturity, respect for others, a team-centered approach, maintenance of confidential information and an appreciation of a variety of viewpoints and diversity in the workplace.

ESSENTIAL JOB FUNCTIONS:

• Identify and link and patients with community resources to facilitate and respond to social service needs.
• Track and support patients when they obtain services outside the practice, i.e. Emergency Departments, Hospitals, and other health care facilities.
• Work in collaboration and with practitioners, communicate test results and care plans to patients/families.
• Provide relevant self-management support for patients with chronic illnesses as identified by clinical teams.
• Work collaboratively with other team members to provide care management services for high risk patients.
• Monitor lifestyle factors affecting health, i.e. tobacco use, substance abuse, nutrition and physical activity, and assist the patient with goal-setting to achieve behavioral change.
• Collaborate with other members of the team for care coordination and care management activities, including implementation of Care Plan.
• Manage referrals, when needed, to appropriate agencies required to assist the client in achieving the goals and objective identified in their Care Plan.
• Identifies significant changes or high-risk situations in patient's condition and takes appropriate actions as evidenced in reporting and documentation.
• Provides triage for urgent patient calls.
• Answers telephone, routes call and takes accurate and complete phone messages for the provider and relays information in a prompt manner.
• Provides patient/patient's family with appropriate education based on identified needs to optimize patient/patient's family understanding and documents response according to standard operating procedure.
• Documents in the chart all authorized medication refills and instructions given.
• Completes all charting and documentation.
• Notifies Clinical Director of any complaints, unsatisfactory outcomes or special needs or requests.
• Schedules referral appointments and obtains all necessary information for the patient
• Adjusts own schedule to meet fluctuation in workload.
• Understand and effectively communicate HIPAA compliance, corporate compliance, and client confidentiality.
• Ensure and/or remain in compliance with local, state, and federal regulations.
• Complete other duties as assigned.

JOB QUALIFICATIONS:

Required:

• Holds current valid North Dakota license as a Registered Nurse
• Strong written and verbal communication skills
• Teamwork orientation
• Familiarity with local community resources for patients with chronic disease
• Able to take and follow through with delegated tasks and accountability.
• Proficiency in Microsoft applications: Excel, Word, Outlook, PowerPoint
• Ability to demonstrate excellent customer service and strong cultural competency
• Ability to adhere to strict confidentiality guidelines

Preferred:

• Bachelor's degree in a health-related field
• One to two years clinical nursing experience, preferably in a clinic setting, managed care, community health, or related field
• Prior experience with care coordination/care management in a medical setting. Prior experience with managing competing priorities
• Prior experience working with diverse population groups

WORKING CONDITIONS:

• Work is performed in a clinical setting and requires some hands-on patient care.
• OSHA category: High risk. Job requires performance of tasks that involve exposure to blood, body fluids or tissue.

PHYSICAL REQUIREMENTS: The RN Charge Nurse - Care Coordinator works in a clinical environment that requires the employee to be on the feet for long periods of time. This position requires the ability to communicate with patients and periodically might require the ability to lift and carry items (not more than 20lbs).

REMOTE WORK: The RN - Refugee Coordinator position is not eligible for full-time or hybrid remote work. For more information about remote work, please see HR Policy 1.29 - Remote Work.

**Spectra Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation or gender identity.