Job Posting: Cedars-Sinai Medical Delivery Network (MDN) is committed to delivering effective and efficient quality health care to our patients with chronic pain and/or mental health conditions who are being managed in the primary care setting. The MDN does this through a collaborative care model that embeds dedicated core teams of Chronic Pain and Mental Health professionals within our Primary Care Medical Home of which the Clinical Program Coordinator is a key member. The Clinical Program Coordinator is responsible for providing clinical and administrative services in support of the MDN pain management and mental health programs, to include: 1) Provide outreach, clinical triage, care coordination, patient education, and follow-up services for patients enrolled in these programs 2) Optimize program impact by following program-specific guidelines for appropriate patient selection and enrollment and ensuring the collection of data needed to measure improvement/performance. The position will provide and coordinate program services to target pain populations including patients with a variety of chronic pain conditions including spine, neuromuscular, musculoskeletal, neuropathies, HA/migraine, abdominal pain, pelvic pain, or chronic pain resulting from complex medical or surgical treatments. The target mental health population includes patients with depression, anxiety, and other behavioral conditions commonly treated in Primary Care. The Clinical Program Coordinator will also be responsible for coordinating medication management services as a major component of both programs. The division of clinical vs. programmatic (administrative) responsibilities is envisioned to be approximately 70/30, or roughly 3.5 days clinical per week and 1.5 days administrative/programmatic per week. ESSENTIAL JOB DUTIES: Clinical
Under the direction of the respective program Medical Directors, review patient assessments, treatment plans, medication regimens and other prescribed treatment modalities and provide patient education and support to promote adherence to therapies and goals
Establish ongoing communication with patients during and between scheduled appointments to promote care coordination and timely delivery of services and treatments; Follow escalation pathway(s) for urgent or unresolved problems
Follow established guidelines for handling inbound patient calls to report symptom management issues, new clinical problems, medication questions and/or other areas of concern
Maintain ongoing communication with the respective program Medical Director regarding assigned patients and provide timely notification of changes in patient status
Provide timely and complete clinical documentation in the EHR following patient visits or telephone calls
Under the direction of the respective program Medical Directors, assess patient self-administration of medications including symptom response, and when requested, functional improvement per standardized assessments
Attend case conferences, clinical rounds, and other types of meetings which address patient management and care coordination
Maintain ongoing communication with other members of the care team through written documentation, telephone or in-person conversation.
Partner with the patient to develop contracts of care as needed and provide encouragement and motivational support to promote adherence to treatment regimens and behavioral plans
Upon adequate training, may be engaged in teaching patients to incorporate principles and techniques of cognitive behavior therapy (CBT) in their self-management of chronic pain and/or depression or anxiety through individual patient appointments as well as group classes. Demonstrates support of patient preferences and a holistic approach when developing and implementing treatment plans and goals
Ensure timely access of patient appointments Administrative
Maintain program specific patient registries that serve as the basis for patient identificat
Experience caring for patients with chronic pain and/or mental health in a primary care setting required.
Experience working as Care Manager highly desirable
Familiarity with motivational interviewing techniques
Demonstrated commitment to the concept of working on an interdisciplinary team
Experience with patient registries desirable
Basic Excel and PPT skills desirable
FT position, Monday – Friday. Ability to attend occasional early morning or evening meetings. May be asked to cover off-hours patient calls on a rotating basis.
Knowledge of managed care principles and population health practices and tools desirable. EDUCATIONAL REQUIREMENTS: Baccalaureate degree or higher from an accredited school of nursing ORGANIZATIONAL EXPECTATIONS: Gives patients full attention when providing care. Acknowledges patient/family concerns through use of nonverbal cues, i.e., makes eye contact, nods head when patient/family speak. Responds to patient/family by repeating back or paraphrasing what patient/family member said. Demonstrates understanding by asking questions of patient/family. Demonstrates empathy by trying to see person's problems through their eyes. Asks patient/family members if they have any anxieties or concerns they wish to discuss. Responds to patient/family questions and concerns by providing information in an accurate, compassionate and timely fashion. Promotes trust and confidence in nursing staff by avoiding criticism of another employee's decision or care within hearing of patient or family.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scien...tists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.