RN Care Coordinator, Internal Medicine, Full Time, First Shift

Patient Population

• Engages in population appropriate communication.
• Has knowledge of growth and development milestones and tasks.
• Gives clear instructions to patients/family regarding treatment.
• Involves family/guardian in the assessment, initial treatment and continuing care of the patient.
• Identifies any physical limitations of the patient and deploys intervention when necessary.
• Recognizes and responds appropriately to patients/families with behavioral health problems.
• Interprets population related data and plans care appropriately.
• Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms.
• Performs treatments, administers medication or operates equipment safely.
• Recognizes and responds to signs/symptoms of abuse or neglect.

Responsibilities

• PATIENT POPULATION:
• Engages in population appropriate communication.
• Has knowledge of growth and development milestones and tasks.
• Gives clear instructions to patients/family regarding treatment.
• Involves family/guardian in the assessment, initial treatment and continuing care of the patient.
• Identifies any physical limitations of the patient and deploys intervention when necessary.
• Recognizes and responds appropriately to patients/families with behavioral health problems.
• Interprets population related data and plans care appropriately.
• Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms.
• Performs treatments, administers medication or operates equipment safely.
• Recognizes and responds to signs/symptoms of abuse or neglect.
• Patient Assessment & Interventions:
• Acts as an expert clinician and role model in providing quality patient care to patients and their families within his/her specialty area.
• Utilizes the nursing process for direct patient care and assists the staff with assessment, planning, implementation, and evaluation of patient care needs.
• Conduct thorough assessments of patients’ health status during clinic visits.
• Reassess and evaluate patient as needed throughout their visit.
• Document nursing history and assessment for assigned patients, initiating referrals based on patient needs.
• Collections basic level and advanced patient data.
• Maintain awareness of comfort and safety needs of patients during their ambulatory appointment starting from the time they arrive to their departure.
• Assess patient environmental safety continuously.
• Respond to life-saving techniques based on nursing standards, policies, procedures, and protocol.
• Provide accurate hand-off report when patients are moved between ambulatory areas and/or between ambulatory and inpatient areas.
• Recognizes and reports changes in patient conditions and abnormal labs or results.
• Perform POC testing assessments as needed to support the patient’s clinical well-being and also patient experience.
• Initiate and implement individualized patient care plans in collaboration with other healthcare providers based on clinical assessments, disease process, and patient’s identified psychosocial needs.
• Collaboratively develops and utilizes patient care pathways that ensure consistent quality of care for patients.
• Demonstrates competency in administering medications, perform wound care, and provide other direct nursing interventions as needed.
• Completes nurse visits and documents timely and accurately.
• Assist with minor procedures and diagnostic tests, ensuring patient comfort and safety.
• Monitor patients for changes in condition, report findings to the healthcare team, and adjust care plans accordingly.
• Recruit patients for studies.
• Assist and collaborate with staff nurses in quality assurance.
• Meet new patients to introduce self and explain role.
• Demonstrates ability to establish priorities of care based on individual patient assessments and the needs of the patients assigned.
• Demonstrates critical thinking and accountability in evaluating and implementing physician orders.
• Ensures timely nursing documented with exceptional accuracy according to hospital policy and procedures.
• Real time nursing documentation.
• Maintain positive, professional, and cooperative demeanor throughout all interactions with patients, staff, physicians, and members of management.
• Maintain a calm demeanor during emergent or challenging behavioral situations with patients.
• Patient Education:
• Mets with patients and families to identify educational needs related to health promotion, maintenance, alterations in health status, disease processes, diagnostic testing, and interdisciplinary care within specialty area.
• Educates patients and their families about health conditions, treatment plans, medications, and self-care techniques.
• Reassess for understanding and re-educate as needed.
• Apply current nursing literature in teaching techniques and guiding standards of care in patient and family education.
• Serve as a expert patient educator for disease-based and clinic-based care teams.
• Documents patient/family/designee teaching and response appropriately.
• Facilitation of Care:
• Facilitate seamless transitions of care by coordinating referrals, scheduling follow-up appointments, and ensuring timely access to services throughout continuity of care.
• Communicate effectively with patients regarding test results, treatment plans, and follow-up care.
• Address patient concerns and provide support and guidance throughout their treatment journey.
• Anticipate changing needs of patients and families based on care plan and act proactively to reduce delays in care, reduce financial toxicity, and increasing patient satisfaction.
• Participate in interdisciplinary team meetings to discuss patient care.
• Collaborate with social workers, dietitians, and other healthcare professionals to address the comprehensive needs of patients.
• Liaison to other departments and organizer for interdepartmental projects.
• Participates in transitions of care planning.
• Documents plan of care reflective of collaborative practice with other health care team members.
• Support prior authorization for medication and diagnostic tests.
• Leadership & Professional Development:
• Serves on nursing and hospital-wide and unit-based committees that influence the delivery of patient care (example: PPO, Documentation).
• Aids in developing and revising policies and procedures for nursing practice.
• Aids in implementing evidence-based practice in the unit.
• Works collaboratively on performance improvement system wide.
• Demonstrates the nurse’s role as a member of the healthcare team and promotes accountability, responsibility, and commitment regarding patient care standards.
• Serves as a resource within his/her own specialty for all members of the healthcare team.
• Serves as a preceptor and/or mentor for nursing students, clinical interns, and other healthcare professionals as needed and identifies opportunities for observation or clinical experiences.
• Remains current in research to area of clinical nursing practices.
• Participates and contributes to staff meetings.
• Compliance & Safety:
• Maintains confidentiality of information.
• Sustain an understanding of regulatory requirements and accreditation standards.
• Monitor safety and departmental policies and procedures.
• Work with department managers, nurses and nursing leadership and multidisciplinary representatives to identify and share safety best practices.
• Demonstrate an understanding of legal and regulatory issues (HIPPA, EMTALA, regulatory agencies, UC, legal P&P) impacting the care delivery and reimbursement process.
• Utilizing MIDAS effectively to report safety concerns.
• Able to escalate appropriately.