Nurse Program Coordinator-Community Based Services and Support (SCD-CBSS)

Career Opportunities @Phmc-posted 1 day ago
Full-time • Mid Level
Remote • Philadelphia, PA
1,001-5,000 employees
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The Nurse Program Coordinator will be responsible for coordinating the Sickle Cell Disease Community-Based Services and Support (SCD-CBSS) program in the Family Services Department for the Lehigh/Capital Region, which includes 13 counties in Pennsylvania. The Nurse Program Coordinator will implement SCD-CBSS services for children, youth with special health care needs, and adults with Sickle Cell Disease (SCD) across urban and rural populations. The Nurse Coordinator will triage, interpret family health needs, reinforce provider recommendations, and guide families through navigation and care coordination. The coordinator will provide clinical guidance to Community Health Workers (CHWs). This position supports individualized care planning, promotes client engagement, self-advocacy, and overall well-being. The Nurse Coordinator will facilitate enrollment, maintain waitlists as needed, and collaborate with local healthcare providers and community networks to ensure program goals are met. Job Overview: Position Type: Exempt Annual Salary Accountability: Reports to Senior Program Manager, Family Services- Home Visiting & Health Care Navigation Location: Remote; Frequent travel required throughout Pennsylvania

  • Provides daily coordination of program activities for the SCD-CBSS Program in alignment with contractual obligations, using clinically informed judgement to identify priority needs.
  • Works with the Senior Program Manager of Family Services to coordinate and implement program deliverables and ensure timelines are met.
  • Establishes and maintains strong relationships with partners, providers, and project staff to ensure effective communication and efficient program implementation.
  • Initiates connections with community partners throughout the contracted Pennsylvania Counties.
  • Collaborates with medical homes staff/providers, advisory committees, and referral sources to assess and determine the most appropriate practices and resources.
  • Coordinates intake and enrollment processes, ensuring accuracy, timeliness, and cultural responsiveness, and clinically informed triage when appropriate.
  • Collaborates with Senior Program Manager and other team members to assess client needs, develop individualized care plans, and ensure services are aligned and effectively delivered.
  • Supports case management activities, ensuring appropriate referrals and coordination of services for individuals with complex health and social needs.
  • Reinforces provider recommendations and supports families in understanding SCD-related care instructions.
  • Works with the Senior Program Manager to ensure goals and deadlines are met, assisting with evaluations of service effectiveness.
  • Completes program reports and other written documentation, maintaining accurate records according to grant funding and observing HIPAA requirements.
  • Attends required monthly SCD-CBSS contractual meetings and partnered community-based county meetings.
  • Maintains up-to-date knowledge of community-based services, evidence-informed practices, and resources relevant to families and individuals with SCD.
  • Ensures educational materials and program resources are culturally appropriate and accessible for diverse populations, especially those with limited reading and English skills.
  • Shares new ideas and concepts with the Senior Program Manager to improve project delivery, content, and/or evaluation for the target audience.
  • Participates in and initiates conversations that introduce new ideas and concepts aligned with HPC's strategic plan in regularly scheduled team meetings.
  • At least three years of experience, which must include working with a diverse population and low-income individuals; direct experience in in-home, community-based, and/or clinical services; experience in data collection/entry, evaluation, monitoring, and needs assessments required.
  • Residing in Lehigh/Capital region counties, including: Adams, Berks, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Lancaster, Lebanon, Lehigh, Northampton, Perry, and York.
  • Associate degree or higher required.
  • Licensed Practical Nurse (LPN) or Registered Nurse license required
  • Knowledge of issues related to maternal and child health, child development, child abuse prevention, and children with special healthcare needs, including an understanding of SCD-related health considerations.
  • Excellent understanding of the community-based organizations throughout Pennsylvania.
  • Knowledge of public health theories, principles, and practices as it relates to SCD and/or children with special healthcare needs.
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