Nurse Care Coordinator

2 weeks ago


Charlottesville, Virginia, United States Virginia Jobs Full time
Job Summary

The Registered Nurse Care Coordinator (RNCC) plays a pivotal role in organizing patient and family-centered care activities, leveraging advanced critical thinking to develop, implement, and evaluate individualized care plans that empower patients and optimize outcomes.

Key Responsibilities
  • Marshals and coordinates resources and patient care activities to support transition management, collaborating across the continuum to meet patient and family needs for individualized follow-up and coordination of services.
  • Integrates the ANA Nursing: Scope and Standards of Practice, the ANA Code of Ethics for Nurses, and the AAACN Scope & Standards of Practice for Professional Ambulatory Care Nursing and the AAACN Scope and Standards of Practice for Registered Nurses in Care Coordination and Transition Management with the UVA Nursing Professional Practice Model.
  • Demonstrates the use of the UVA Professional Practice Model through nursing professional practice, quality achievement, lifelong learning, empowered leaders, innovation, and expert caring.
  • Plans, coordinates, and prioritizes patient care activities considering patients' unique needs and desired outcomes in collaboration with the inter-professional team, including consult recommendations and escalation as needed.
  • Maintains safety and continuity of care using methods such as documentation, hand-off tools/processes, etc.
  • Collaborates and advises patients, families, and caregivers in their healthcare decisions, respecting their culture and values.
  • Provides health education and coaching to patients tailored to issues identified within treatment and service plans through evidence-based care delivery and safety standards.
  • Provides facilitative leadership that promotes health equity across the continuum and among interdisciplinary teams to improve population health, patient experience, and cost reduction.
  • Demonstrates knowledge and ability to participate in and apply research and evidence-based practices for the improvement of patient care throughout the lifespan and across the continuum.
  • Takes the lead in ensuring the continuity and consistency of care across the continuum to promote and facilitate pre-visit coordination, post-clinic follow-up, and handoff between services, along with monitoring and facilitating transitions of care.
  • Educates patients & families with chronic illness about evidence-based standards of practice to empower patients to include self-management strategies.
  • Identifies support needs and develops action plans and guidance to initiate patient-centered care planning and application of the nursing process.
  • Contributes to problem-solving through communication and collaboration and evaluates outcomes of treatment options to include tracking patient progress toward care plans and goals.
  • Supports medication management.
Requirements
  • Bachelor of Science in Nursing from an accredited nursing program.
  • 1 year of registered nursing experience required, 3 years of related and relevant registered nursing experience strongly preferred.
  • Specialty Board Certification strongly preferred.
  • Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.
  • American Heart Association (AHA) Health Care Provider BLS certification is required.
Physical Demands

Job requires standing for prolonged periods, frequently traveling, and bending/stooping. Proficient communicative, auditory, and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull lbs. May be exposed to chemicals, blood/body fluids, and infectious diseases.

The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff.

We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers.

All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.



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