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Telehealth Care Coordinator (RN)
Synapticure Inc.
Posted over a month ago
Description

About Synapticure

Synapticure is the largest, most comprehensive specialty care clinic in the country for those living with neurodegenerative diseases. Founded by patients and caregivers living with these diseases, we are redefining the care journey for diseases like Alzheimer’s, Parkinson’s, and ALS in all 50 states. 

Synapticure’s virtual care model democratizes access to flexible, specialized, patient-centric care, provided by an interdisciplinary team that includes subspecialized neurologists, care navigators, advanced practice practitioners, and behavioral health providers.

We are growing quickly in 2024, and are hiring compassionate, resourceful, and dedicated Care Navigators to support patients and caregivers living with neurodegenerative diseases.


About the Role 

The Registered Nurse Care Coordinator (RNCC) is a core member of the Synapticure’s GUIDE Program who provides support, education, and care coordination for patients and caregivers with Dementia, Alzheimer's and other cognitive diseases.

Applicants should be passionate about the power of involving patient voices in their care experiences and outcomes, and should thrive on direct patient support, particularly for vulnerable populations. Our most successful Care Navigators are thoughtful, organized, curious, and empathetic. They value the opportunity to positively impact patients’ lives and to improve continually. Most of all, they are eager to help shape a program from inception and are comfortable with growth, change, and evolution in service of the neurodegenerative community.     


Responsibilities

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Engagement
  • Receive patients from engagement and care teams
  • Describe program expectations (e.g., length) and goals to patients


Assessments/Intake
  • Perform initial patient intakes and ongoing patient support to coordinate connections to neurology experts, patient’s PCP, community resources, all in adherence with HIPAA standards 
  • Complete assessment and screening instruments following protocols
  • Serve as the primary point of contact for patients and caregivers, supporting them with compassion, resourcefulness, and determination


Case Review and Care Planning
  • Partner with the Care Navigator on patients’ care plans
  • Incorporate quality opportunities in care plans
  • Support patients in achieving their care plan goals
  • Bring preliminary goals and identified resources to patients to address clinical,  social and care coordination needs 
  • Work with patients and caregivers to address goals in care plans and coach to completion
  • Focus on goals of the patients, risk mitigation, call-us-first emphasis, provider engagement, and addressing social needs  
  • Provide dementia education to patients and caregivers
  • Coordinate care virtually across internal and external stakeholders
  • Active cross-functional collaboration, shared-decision making and partnership across clinical and non-clinical care team members to develop and iterate on patients’ care plans 


Follow-up
  • Ongoing check-ins with patients to follow-up on care coordination needs (benefits, social needs, external care) and care plan progress
  • Provide routine non-clinical education on preventative care topics to patients and caregivers
  • Address and respond to patients needs and delegate tasks in timely fashion
  • Complete screenings for emerging needs
  • Referral to care team if clinical interventions needed


Operations
  • Utilize our patient portal, electronic health record and scheduling platforms as needed to collect data, document member interactions, organize information, track tasks, and communicate with your team, members, and community resources


  • Bachelor of Science degree in Nursing (BSN) or an associate's degree in nursing (ADN) from an approved nursing program. Registered nurses must hold an active and unrestricted license.
  • Comfortable using technology to support members without in-person contact (telephone and text etiquette, virtual visit platforms, etc.)
  • Excellent verbal and written communications, organizational skills, and interpersonal skills to work effectively in a diverse team
  • Understanding of how to use scheduling platforms to ensure accurate appointment scheduling and management
  • Understanding of how to use electronic health record systems and/or care facilitation platforms to ensure accurate documentation
  • Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner
  • Strong problem solving skills - can make difficult decisions and knows when to collaborate with other team members
  • Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health
  • Growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities
  • Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities
  • Ability to establish cooperative working relationships with patients, teammates, and health care and community service providers


Preferred Qualifications
  • Experience with clinical care, geriatrics, and/or patients with dementia 
  • Bilingual, with verbal and written fluency in Spanish to support a diverse population of patients and caregivers


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Travel Requirements:This position is fully remote, and we provide the necessary technology to work from home. Occasional travel to our headquarters in Chicago, IL and/or other locations may be expected.


Salary and Benefits:Position is full time/exempt with competitive salary and benefits package including health insurance offering. Salary range for this role is competitive depending on the candidate’s level of experience

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