U.V.A Medical Center-posted 4 months ago
$85,820 - $113,401/Yr
Full-time • Entry Level
Charlottesville, VA
Hospitals

The Registered Nurse Care Coordinator (RNCC) is responsible for (deliberate) organization of patient and family-centered care activities between two or more participants in which the RNCC uses advanced critical thinking to develop, implement, and evaluate individualized care plan to empower patients and optimize outcomes. The RNCC marshals and coordinates resources and patient care activities to support transition management, through collaboration across the continuum, supporting patient and families' needs for individualized follow-up and coordination of services across healthcare services and locations. This job profile integrates the ANA Nursing: Scope and Standards of Practice the ANA Code of Ethics for Nurses with Interpretive Statements the AAACN Scope & Standards of Practice for Professional Ambulatory Care Nursing and the AAACN Scope and Standards of Practice for Registered Nurses in Care Coordination and Transition Management, with the UVA Nursing Professional Practice Model.

  • Demonstrating the use of the UVA Professional Practice Model through nursing professional practice, quality achievement, lifelong learning, empowered leaders, innovation, and expert caring.
  • Planning, coordinating, and prioritizing patient care activities considering patients' unique needs and desired outcomes in collaboration with the inter-professional team including consult recommendations and escalation as needed.
  • Maintaining safety and continuity of care using methods such as documentation, hand-off tools/processes, etc.
  • Collaborating and advising patients, families, and caregivers in their healthcare decisions, respecting their culture and values.
  • Providing health education and coaching to patients tailored to issues identified within treatment and service plans through evidence-based care delivery and safety standards.
  • Providing facilitative leadership that promotes health equity across the continuum and among interdisciplinary teams to improve population health, patient experience, and cost reduction.
  • Demonstrating knowledge and ability to participate in and apply research and evidence-based practices for the improvement of patient care throughout the lifespan and across the continuum.
  • Taking the lead in ensuring the continuity and consistency of care across the continuum to promote and facilitate pre-visit coordination, post-clinic follow-up, and handoff between services, along with monitoring and facilitating transitions of care.
  • Educating patients & families with chronic illness about evidence-based standards of practice to empower patients to include self-management strategies.
  • Identifying support needs and developing action plans and guidance to initiate patient-centered care planning and application of the nursing process.
  • Contributing to problem-solving through communication and collaboration and evaluating outcomes of treatment options to include tracking patient progress toward care plans and goals.
  • Supporting medication management.
  • Other duties as assigned.
  • Bachelor of Science in Nursing from an accredited nursing program.
  • 1 year of registered nursing experience required, 3 years of related and relevant registered nursing experience strongly preferred.
  • Specialty Board Certification strongly preferred.
  • Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.
  • American Heart Association (AHA) Health Care Provider BLS certification is required.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service