Integrated Care Coordinator (Nurse)

Seven Counties Services•Louisville, KY

About The Position

The Integrated Care Coordinator (Nurse) serves as the first point of clinic contact for new clients, explains available services, and supports client engagement. The role completes health screenings, nursing assessments, and triage for new and ongoing clients, and participates in team meetings to develop plans of care. The coordinator helps clients navigate the healthcare system, advocates with healthcare providers and managed care organizations to support timely care, and coordinates access to services addressing social determinants of healthcare outcomes. This may include transportation to appointments, housing assistance when housing instability affects health or healthcare access, and connections to community resources such as public assistance and financial benefits. The role develops knowledge of healthcare providers in the service area, collaborates with them as needed, and tracks appointments, medication, and other healthcare needs for assigned clients.

Requirements

  • Licensed Practical Nurse with a current, active license to practice in Kentucky.
  • Three years of nursing experience in a hospital, physician office, or behavioral care clinic.
  • Reliable transportation for frequent travel.

Nice To Haves

  • Experience in a community setting or integrated care environment.

Responsibilities

  • Serve as the first point of clinic contact for new clients, explain available services, and encourage engagement with services.
  • Complete health screenings, nursing assessments, and triage healthcare needs for new and ongoing clients.
  • Participate in team meetings to develop plans of care addressing client needs.
  • Help clients navigate the healthcare environment and access appropriate care.
  • Advocate with healthcare providers and managed care organizations to support timely care.
  • Coordinate access to services addressing social determinants of healthcare outcomes.
  • Provide transportation to healthcare appointments when needed.
  • Identify other needs that may be necessary to ensure access to healthcare.
  • Assist with housing access, including housing searches, applications, financial assistance, and landlord communication, when housing instability affects health or access to care.
  • Help clients access community resources such as public assistance and financial benefits.
  • Develop knowledge of healthcare providers in the service area and collaborate with them as needed.
  • Document and track appointments, medication, and other healthcare needs for assigned clients as needed.
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