Patient Care Coordinator
1 month ago
This position plays a vital role in providing comprehensive nursing care and patient services in our clinic or ambulatory care setting. As a skilled healthcare professional, you will assist physicians and patients, ensuring seamless communication and coordination of care.
Responsibilities
* Assist primary providers in gathering patient information for initial health histories
* Conduct follow-up phone calls on behalf of the care team provider
* Contact patients to discuss test results, complete referrals, changes in medications or care plans, and follow-up on self-management goals
* Serve as primary contact/clinical liaison between referral hospitals, pharmacies, treatment facilities, and patients/families to ensure effective and appropriate treatment per established care plan
* Triage patients on the team's panel call or walk-in and assist or direct them as appropriate, ensuring timely needs are met with available resources
* Facilitate, schedule, and participate in various patient care coordination activities to provide personal and health care needs promptly; proactively identify alternative resources as needed
* Maintain and update team patient panels, identifying, creating, and maintaining high-risk sub-populations for care management
* Collect and report clinical measures for a panel of patients
* Lead multi-disciplinary healthcare teams in performance improvement efforts
* Provide emergency care as needed to patients
* Assess and provide support in health promotion and disease prevention and treatment to patients with common chronic illnesses such as diabetes, hypertension, and tuberculosis
* Initiate and follow up on patient needs for continuing care or related health services
* Provide patient and family counseling, including telephone triage and counseling with proper documentation
* Conduct nurse visits per standing orders and current orders in the patient's record
* Check stock of drugs, wound care supplies, linens, medical supplies, and other patient-related supplies necessary for day-to-day operations; advise appropriate staff of need
* Work closely with other members of the healthcare team in developing patient care visit plans
* Maintain patient records by completing thorough and accurate documentation of all patient encounters
* Administer medications as prescribed by the primary physician or provider in compliance with policies
* Lead/pre-visit planning for scheduled patients
* Assist in the clinical area by performing treatments and procedures
* Participate in Quality Improvement teams and other committees as assigned
* Act in the absence of the supervisor
Requirements
* Active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States
* One year of experience in ambulatory care or clinic setting preferred but not required
* Current certification in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED)
* Proof of non-reactive tuberculosis skin test within the last year, proof of immunity for hepatitis B, and current immunization statement
* Must pass a National FBI fingerprint check and meet Tohono O'odham Nation tribal employer's insurance requirements if applicable
* Possess fluency in both Tohono O'odham language and English upon departmental request
What We Offer
We offer an estimated salary range of $60,000 - $80,000 annually, based on qualifications and experience. Our organization values its employees and provides opportunities for growth and development.
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