Integrated Care Coordinator (Nurse)

Seven Counties Services•Louisville, KY

About The Position

The Integrated Care Coordinator is the first point of clinic contact for new clients, explaining available services and supporting 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 for timely care, and coordinates access to healthcare and community services that address social determinants of health. This can include transportation to appointments, housing assistance when housing instability affects health or access to care, and help accessing public assistance and financial benefits. The position also develops knowledge of healthcare providers in the service area, collaborates with them as needed, and tracks appointments, medications, 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.
  • 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 for clients 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 affect access to healthcare.
  • Assist with housing searches, applications, financial assistance, and landlord communication when housing instability affects health or access to appropriate care.
  • Assist clients in accessing community resources, including public assistance and financial benefits.
  • Develop knowledge of healthcare providers in the service area and collaborate with them as needed.
  • Track appointments, medications, and other healthcare needs for assigned clients as needed.
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