Nurse Coordinator - CTEPH and Pulmonary

About the role

The employee will coordinate and manage a variety of duties associated with daily clinic operations and patient access. This position involves excellent customer service skills, coordination with multiple internal and external ancillary testing locations, and strong communication skills both written and verbal.

Responsibilities

• Complex ambulatory appointment scheduling including but not limited to multimodality testing for both cardiac and pulmonary diseases, right heart catheterization, left heart catheterization, cardiac MRI, stress testing, invasive exercise testing, ventilation/perfusion scanning, CT angiography, pulmonary angiography in the catheterization laboratory, pulmonary function testing, 6 minute walk testing, echocardiography and ambulatory provider clinic evaluation; maintaining medical records, triage patient communications to the appropriate provider, follow up to ensure continuity of care across provider care teams and timeliness of appointment scheduling.
• Serve as coordinator for clinical care management both inpatient and outpatient, hospital discharge planning, pulmonary rehab, home care including home health, hospice and medical equipment referrals. Complete complex pharmaceutical therapy referrals, pharmaceutical assistance program referrals, pulmonary rehabilitation referrals and MUSC Anticoagulation Clinic referrals. Triage patient phone calls.
• Ensure timely turnaround of authorizations and communications from outside resources to provide seamless continuity of care. Obtain medical authorizations, confirm procedure and testing prior authorization prior to patient travel for appointments and notify program coordinator/manager of any delays. This includes 3rd party payor negotiations for pre-certification, prior authorizations, appeals for diagnostic procedures and complex therapies. Administrative coordinator will also be responsible for medication prior approvals medication appeals.
• Attend weekly clinic appointment planning meetings with the multidisciplinary teams and ensure that all needed resources are available for each individual appointment. Attend weekly clinical wrap up meetings and ensure that all follow up clinical appointments are scheduled in accordance with CTEPH/PH team recommendations. Facilitate the CTEPH MDD weekly conference schedule including calendar invites, cases for review, follow up on any action items from the conference and ensuring all materials needed for case review are received prior to conference date.
• Maintain patient database to include CTEPH patient referrals, balloon pulmonary angioplasty, and pulmonary thromboendarterectomy patients. Develop, implement and review of medical protocols for EPIC order set revisions for Pulmonary Hypertension vasodilator and CTEPH interventional therapies.
• Provide consultation services advisement as appropriate to providers, patients and patient families. Participate in patient education and family education regarding Pulmonary Hypertension, Pulmonary Hypertension therapies, immunosuppressive therapies, provide in-service education of medical and nursing staff.

Qualifications

• Bachelor’s degree in nursing required and three years related nursing experience.
• Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state.
• Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.