Nurse Care Coordinator

Pediatric Care Partners - Vermont•Enosburgh, VT
•Onsite

About The Position

Monarch Maples Pediatrics is seeking a Nurse Care Coordinator to coordinate and manage comprehensive care for pediatric patients in an outpatient setting. The role focuses on continuity of care, patient advocacy, chronic disease management, and collaboration with providers, families, specialists, and schools. The position is primarily based in the Enosburg Falls office, with work at the Saint Albans office as needed. The Nurse Care Coordinator develops and manages patient care plans, coordinates appointments and follow-ups, tracks care-related tasks, and supports transitions after emergency room visits or hospital discharges. The role also involves communicating care plans to patients and families, coordinating with schools and community partners, participating in case reviews, conducting audits, educating patients and staff, maintaining records, helping develop care protocols, and providing scheduled triage coverage. This is an in-person, salaried, 40-hour-per-week position, scheduled Monday through Friday from 8:00 a.m. to 4:30 p.m.

Requirements

  • Current Registered Nurse (RN) license in the State of Vermont.
  • Excellent communication skills and the ability to support caregivers.
  • Ability to work independently and collaboratively in a group.
  • Proficiency in electronic medical records (EMR).
  • Strong organizational skills and attention to detail.

Nice To Haves

  • Pediatric or outpatient clinical experience.

Responsibilities

  • Develop and manage comprehensive pediatric care plans, including scheduling appointments, tests, procedures, and follow-ups.
  • Check on care-related tasks such as medication changes and referral status, and coordinate transitions of care after emergency room visits or hospital discharges.
  • Review and update care plans to ensure protocols are followed and participate in multidisciplinary case reviews, including work related to NCQA goals, asthma action plans, and school attendance.
  • Communicate care plans, explain treatments, address concerns, and provide emotional support to patients and families.
  • Collaborate with schools and school districts on coordination service plans, individual education plans (IEPs), and 504 plans, and collaborate with the Department of Children and Families (DCF).
  • Serve as a liaison among pediatric providers, therapists, social workers, and other healthcare professionals.
  • Conduct nursing care audits, monitor patient progress, and ensure compliance with healthcare regulations.
  • Provide in-service training and patient education on pediatric care, health insurance benefits, and self-management strategies.
  • Maintain accurate and confidential patient records and complete documentation in a timely manner.
  • Assist in creating, reviewing, and revising pediatric care protocols with providers, the RN Clinical Manager, Physician Manager, and Office Manager.
  • Provide triage coverage as scheduled throughout the week.
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