Nurse, Integrated Care

Job Description

Job Description

Summary: The Integrated Care Nurse acts as a liaison between primary care and behavioral health providers, ensuring patient care integration and facilitating communication between providers and partner agency care teams (i.e. nurses, social workers). The Integrated Care Nurse assists with direction of daily patient visits, assessment and triage, care coordination, and health education and information. The Integrated Care Nurse works collaboratively to assure the maintenance of a safe patient care environment, safe transition to care both within Tapestry 360 Health and with other community agencies and contributes to quality assurance and other organizational activities as needed. The Integrated Care Nurse provides patient-centered, trauma-informed services to patients with severe mental illness and co-occurring substance abuse/addiction disorders.

Essential Duties and Responsibilities:

• Provides phone and walk in triage, facilitates medication refills, and administers medications.
• Promotes health and well-being for patients and families by assessing health literacy, providing meaningful health information, and supporting self-management of chronic physical and mental illness.
• Supports Medical Assistants by providing information, ongoing development and training.
• Assures safe patient care environment. Oversees infection control practices and management of the supply and storage of medication.
• Performs clinical patient visits such as administering long-acting psychotropic injections, providing education and/or follow-up on diabetes care, asthma and/or other chronic diseases.
• Collaborates with care team members to support patients during transitions of care:

1. Provides necessary support in the coordination of referrals, including the access of necessary tests or other values and reports as needed
2. Provides information and support to patients and families and works with the care team to assure appropriate follow up.

• Fosters relationships with community agencies, recovery counselors as needed.
• Additional responsibilities may include serving as the electronic medical record superuser and/or providing group health education.
• Participates in required care team and other organizational meetings.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

• Active Illinois Registered Nurse License and CPR certification required prior to hire date.
• Bachelor’s degree or higher preferred.
• Behavioral health experience required.
• Experience in community health, health education, care coordination and disease management preferred.

Communication Skills:

• Bilingual Spanish/English preferred.
• Excellent verbal and written communication skills required.

Analytical Skills:

• Ability to read and interpret documents.

Mathematical Skills:

• Ability to add and subtract two-digit numbers and multiply and divide with 10s and 100s.

Problem Solving:

• Ability to define problems, collect data, establish facts, and draw valid conclusions .

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk and hear.
• The employee is regularly required to sit, stand and walk.
• The employee is regularly required to use hands to key, handle, or feel and reach with hands and arms.
• The employee is regularly required to bend, kneel and squat.
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The noise in the work environment is moderate.

Compensation Transparency Statement
Tapestry 360 Health is committed to equitable and transparent pay practices. In accordance with the Illinois Pay Transparency Act, we are disclosing the full salary range for this position. This range represents the potential compensation for the role based on experience, tenure, and performance over time.

Most new employees can expect an initial offer within the lower portion of the range, reflecting factors such as prior experience, internal equity, and organizational budget. Salary progression is evaluated regularly to support professional growth and retention.