Integrated Care Coordinator Nurse

ESSENTIAL JOB FUNCTIONS

• Provides first point of clinic contact for all new clients. Explains services available and focuses on engaging clients to access services.
• Completes health screenings, nursing assessments, and triages healthcare needs for new and ongoing clients.
• Participates in team meetings to develop a plan of care addressing client needs.
• Aids clients in navigating the healthcare environment to ensure access to appropriate care.
• Advocates on behalf of clients with healthcare providers and managed care organizations to ensure timely care.
• Coordinates and accesses services to address social determinants of healthcare outcomes:
  • Provides transportation to healthcare appointments, when needed.
  • Identifies other needs, when necessary, that ensure access to healthcare.
  • Affords access to housing (search for housing, applications, financial assistance, communication with landlord), as necessary, when housing status destabilizes health status and presents a barrier to receiving appropriate healthcare.
  • Affords access to other community resources, e.g., public assistance and financial benefits.
• Develops a knowledge base of other healthcare providers in the service area and collaborates, as needed.
• Documents tracking for appointments, medication, and other healthcare needs for assigned clients, as needed.
• Provides education and support for wellness activities such as healthy eating, physical activity, and healthy behaviors.
• Affords caring contacts to clients estimated to be at high risk for suicide to ensure continuity of care.
• Collaborates with clients, family/significant others to develop support networks.

EDUCATION

• Licensed Practical Nurse preferred with current active license to practice in Kentucky.
• MEDICAL ASSISTANT may be considered based on academic preparation and relevant experience.

EXPERIENCE

• Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
• Experience in community setting or integrated care environment.