RN Care Coordinator, Internal Medicine, Full Time, First Shift

UC Health•Cincinnati, OH

About The Position

The Ambulatory RN Care Coordinator is a member of the healthcare team who supports physician clinics and provides high-quality care to patients with complex and chronic diseases. The role combines direct patient care with administrative responsibilities, with approximately 60% of time dedicated to patient-facing duties. The nurse works with patients to develop and carry out care plans, provides education, and collaborates with interdisciplinary team members to improve patient care and experience. Responsibilities include assessing patients during clinic visits, monitoring and documenting their health status, implementing individualized care plans, providing nursing interventions, and coordinating referrals, follow-up appointments, and transitions of care. The role also includes patient and family education, collaboration with healthcare professionals, support for prior authorizations, participation in quality improvement and professional development activities, and adherence to safety, confidentiality, regulatory, and accreditation requirements.

Requirements

Associate's degree in Nursing.
Current Registered Nurse (RN) license in the state of Ohio.
At least 2 years of nursing experience in an ambulatory or outpatient setting.

Nice To Haves

Bachelor's degree in Nursing.
Basic Life Support (BLS) certification.

Responsibilities

Communicate appropriately with patients and families, taking account of developmental, psychological, cultural, religious, and behavioral health needs.
Provide clear treatment instructions and involve family members or guardians in assessment, treatment, and ongoing care as appropriate.
Identify patients’ physical limitations and respond to signs of abuse or neglect.
Conduct and document thorough patient assessments during clinic visits, reassessing patients as needed and initiating referrals based on their needs.
Use the nursing process to assess, plan, implement, and evaluate patient care, and assist staff with these activities.
Monitor patient data and trends, recognize changes in condition and abnormal results, and report findings to the healthcare team.
Maintain patient comfort and safety throughout ambulatory appointments and respond to emergencies using established nursing standards and protocols.
Provide accurate hand-off reports when patients move between ambulatory and inpatient areas.
Perform point-of-care testing, administer medications, provide wound care and other nursing interventions, and assist with minor procedures and diagnostic tests.
Develop and implement individualized care plans and care pathways collaboratively with healthcare providers.
Complete nurse visits and real-time nursing documentation accurately and promptly.
Recruit patients for studies and collaborate with staff nurses on quality assurance.
Educate patients and families about health conditions, treatment plans, medications, testing, and self-care; assess understanding and document teaching and responses.
Coordinate referrals, follow-up appointments, access to services, and transitions of care; communicate test results, treatment plans, and follow-up instructions.
Address patient concerns, anticipate changing needs, and work to reduce delays in care and financial toxicity while improving patient satisfaction.
Participate in interdisciplinary meetings and collaborate with social workers, dietitians, and other healthcare professionals.
Serve as a liaison to other departments and organize interdepartmental projects; support prior authorizations for medications and diagnostic tests.
Participate in committees, policy and procedure development, evidence-based practice, performance improvement, staff meetings, and assigned orientation and education programs.
Serve as a specialty resource and preceptor or mentor for nursing students, clinical interns, and other healthcare professionals as needed.
Maintain current knowledge of research relevant to clinical nursing practice.
Maintain confidentiality, follow safety and departmental policies, understand applicable regulatory and accreditation requirements, and report safety concerns through MIDAS with appropriate escalation.
Maintain a positive, professional, and cooperative demeanor with patients, staff, physicians, and management, including during emergent or challenging behavioral situations.