Nurse Integrated Care Coordinator

Essential Job Functions

• Provides first point of clinic contact for all new clients.
  • Explain services available and focus on engagement of client to access services.
• Completes health screenings, nursing assessments and triage healthcare needs for new and ongoing clients.
• Participates in team meeting to develop a plan of care to address client needs.
• Affords clients in navigating the healthcare environment to ensure access to appropriate care.
• Advocates on client’s behalf with healthcare providers and managed care organizations to ensure timely quality care.
• Affords assistance with coordination/access to services that address social determinants of healthcare outcomes:
• Provides transportation to healthcare appointments, when needed.
• Identifies other needs, when necessary, that ensure access to healthcare.
• Affords assistance with access to other community resources e.g., public assistance and financial benefits.
• Develops knowledge base of other healthcare providers in the service area and collaborates, as needed.
• Affords education and support wellness activities such as healthy eating, physical activity, and healthy behaviors.
• Affords assistance with clients who have recently discharged from inpatient treatment, incarceration, residential care, and/or Emergency Department visits to ensure a transition to outpatient care using evidence-based transitional/navigation services to prevent readmissions.
• Collaborates with client, family/significant others to develop support networks.

Education and Experience

• Licensed Practical Nurse with current active license to practice in Kentucky.
• Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
• Experience in community setting or integrated care environment.

Physical Demands

• Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing.
• May require exposure to the threat of bodily harm from clients or families.
• Normal tasks may involve exposure to blood, bodily fluids, or tissue.
• Reliable transportation for frequent travel.