Nurse Care Coordinator

Primary Care Health Partners•Enosburg Falls, VT

3d•Onsite

About The Position

Monarch Maples Pediatrics in Enosburg Falls 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 in the Saint Albans office as needed. The coordinator is also scheduled throughout the week to assist with triage duties.

Requirements

Current Registered Nurse (RN) license in the State of Vermont.
Excellent communication skills and ability to support caregivers.
Ability to work independently and collaboratively with 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 items such as medication changes and referrals, and coordinate transitions of care after emergency room visits or hospital discharge.
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, Individualized Education Programs (IEPs), and 504 plans, and collaborate with the Department of Children and Families (DCF).
Act 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 in collaboration with providers, the RN Clinical Manager, Physician Manager, and Office Manager.
Provide triage assistance as scheduled throughout the week.