Care Coordination Clinical Coordinator

Wyckoff Heights Medical Center•New York, NY

About The Position

The Care Coordination Service is seeking a Nurse Practitioner to function as a Clinical Coordinator in the Post-Discharge Follow Up service, functioning under the 1115 Medicaid Waiver.

Requirements

Master of Science degree in Nursing—Adult-Gerontology Primary Care Nurse Practitioner (preferred) or Family Nurse Practitioner, Doctor of Nursing Practice preferred
Completion of Primary Care Nurse Practitioner Fellowship Program
Graduate of a Nurse Practitioner education program registered by the New York State Education Department
Certification as an Adult-Gerontology Primary Nurse Practitioner or Family Nurse Practitioner from a New York State approved accrediting body – American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP).
Must possess current, unrestricted New York State Registered Nurse license and Nurse Practitioner license
Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration
Must possess active Medicare/Medicaid Enrollment or be eligible to enroll
BLS or ACLS certification required

Nice To Haves

Bilingual Spanish

Responsibilities

Assisting with facilitating bedside touchpoints for patients slated for discharge
Directing the Post-Discharge Coordinator and Scheduling Coordinator to efficiently maintain workflow and contact with patients prior, during, and after clinic visit (if required)
Conducting a mixture of virtual and in-person visits to capture patients that are post-discharge from WHMC—both inpatient and from the Emergency Room
Performing relevant physical exams and evaluating patients, documenting pertinent positive and negative findings.
Diagnosing and treating disease and providing education regarding discharge instructions, medical management, and follow-up appointments
Evaluating patients to determine the necessity of sooner follow-up, if needed
Prescribing medication in accordance with New York State and federal law.
Ordering appropriate laboratory, radiological and special examinations or tests; interpreting results.
Providing preventative health services, including health education and counseling with the goal of preventing 30-day readmission
Collaborating with other clinicians and staff members to ensure continuity of care of patients; developing metrics and tracking outcomes pertinent to patient experience
Assisting with facilitating the Primary Care Nurse Practitioner Fellowship Program (teaching, curriculum development, and accreditation).