Part Time (24 hours per week)

M-F Days

Onsite

RN Care Coordinator for Gender Clinic in Adolescent Medicine

Summary:

The Care Coordination and Transition Management Nurse is responsible for the deliberate organization of patient care activities between two or more participants (including the patient and/or family) involved in a patients care to facilitate the appropriate delivery of health care services. Coordinates the delivery of care within the practice setting and across health care settings.

Responsibilities:

1. Assessment: Systematically collects comprehensive and focused data relating to health needs and concerns of a patient, group, or population as they move across the care continuum.

2. Nursing Diagnosis and Outcomes Identification: Analyzes the assessment data to determine the diagnosis or issues in order to facilitate the appropriate level of care across the care continuum. Identifies expected outcomes specific to the patient, group, or population across the care continuum.

3. Planning: Develops a patient- and/or population-centered plan of care that identifies and advocates for strategies and alternatives to attain expected outcomes. Provides consultation to influence identified plans of care, enhance the ability of other professionals, and effect change.

4. Implementation: Implements the identified plan of care to attain expected outcomes in selected groups or individuals. Employs educational strategies that promote individual, community, and population wellness.

5. Evaluation: Evaluates the status and progress of the patient, group, or population toward the attainment of expected outcomes and communicates the status and progress to relevant professionals across the care continuum.

6. Demonstrates the knowledge and skills necessary to provide care for the physical, psychological, social, educational, and safety needs of the patients served regardless of age.

7. Other duties as required .

Other information:
Technical Expertise

1. Experience with healthcare coordination in a managed care environment, homecare or community agency is preferred.

2. Critical and analytical reasoning, astute clinical judgement, strong communication (verbal and written) interpersonal, organizational, and leaderships skills required.

3. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Epic software or similar EMR software is preferred .