Ambulatory Care Coordinator

3 weeks ago

Wilmington, Delaware, United States Trinity Health Full time

**Job Summary:**

We are seeking a highly skilled Ambulatory Nurse to join our team at Trinity Health. This role requires the ability to work independently, solve problems, and multitask effectively in an outpatient primary care setting.

As an Ambulatory Nurse, you will serve as the clinical liaison between patients and the medical team, providing comprehensive support and exceptional patient care. Key responsibilities include transitional care management, care coordination, patient triage, medication adherence promotion, and oversight of clinical quality measures.

**Responsibilities:**

  • Identify patients requiring preventive care, chronic disease management, laboratory tests, screenings, or referrals, and coordinate services to meet their needs.
  • Perform transitional care management, including reviewing hospital discharge information, conducting medication reconciliation within two days of discharge, and scheduling follow-up appointments.
  • Triage patient phone calls and respond to inquiries with clinical expertise, ensuring timely and accurate resolutions.
  • Communicate test results to patients under provider supervision, offering appropriate guidance and next steps.
  • Support medication adherence through patient education and follow-up communication.
  • Accurately and efficiently document medical information in the electronic medical record system, maintaining compliance with documentation standards.
  • Lead efforts to close preventive care gaps and monitor clinical quality measures, ensuring the practice meets all associated metrics.

**Requirements:**

  • Active RN or LPN license.
  • Experience in primary care or ambulatory care is preferred.
  • Strong communication, organizational, and critical-thinking skills.

**Salary Range:** $65,000 - $85,000 per year.

**Benefits:**

  • Comprehensive health insurance.
  • Retirement plan with employer match.
  • Paid time off and holidays.
  • Professional development opportunities.

**Our Commitment to Diversity and Inclusion:

Trinity Health is committed to creating a diverse and inclusive workforce that reflects the communities we serve. We believe that every individual has a unique perspective and talent to bring to our organization, and we strive to provide an environment where everyone feels valued, respected, and empowered to succeed.

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