About The Position

The Ambulatory RN Care Coordinator is a member of the healthcare team who supports ambulatory physician clinics and helps ensure seamless, high-quality care for patients with complex and chronic diseases. The position 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, provide education, and collaborate with interdisciplinary healthcare team members to optimize care and the patient experience. Responsibilities include assessing patients during clinic visits, planning and implementing individualized care, monitoring changes in condition, providing nursing interventions, documenting care, and coordinating referrals and transitions. The RN also educates patients and families, supports follow-up and access to services, contributes to quality and safety efforts, and serves as a clinical resource and mentor within the specialty.

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

  • Engage in population-appropriate communication and account for patients’ developmental, psychological, religious, and cultural needs.
  • Provide clear treatment instructions and involve family members or guardians in assessment, treatment, and ongoing care.
  • Identify patient limitations and safety concerns, respond to behavioral health needs, and recognize signs of abuse or neglect.
  • Conduct and document thorough patient assessments, reassess patients as needed, monitor health data and trends, and initiate referrals based on patient needs.
  • Use the nursing process to assess, plan, implement, and evaluate direct patient care.
  • Maintain patient comfort and environmental safety throughout ambulatory visits and respond to emergencies using applicable nursing standards and protocols.
  • Provide accurate hand-off reports when patients move between ambulatory and inpatient areas.
  • Recognize and report changes in patient condition and abnormal laboratory results.
  • 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 patient care pathways in collaboration with healthcare providers.
  • Complete nurse visits and maintain timely, accurate, real-time documentation in accordance with hospital policies and procedures.
  • Recruit patients for studies and collaborate with staff nurses on quality assurance.
  • Establish priorities of care, evaluate and implement physician orders using critical thinking, and maintain a professional and cooperative demeanor.
  • Identify patient and family education needs; teach about health conditions, treatment plans, medications, self-care, diagnostic testing, and interdisciplinary care; reassess understanding and document education.
  • Coordinate referrals, follow-up appointments, transitions of care, and access to services; communicate test results, treatment plans, and follow-up information to patients.
  • Address patient concerns and proactively respond to changing needs to reduce delays in care and financial toxicity and improve patient satisfaction.
  • Participate in interdisciplinary meetings and collaborate with social workers, dietitians, and other professionals to address patient needs.
  • Act as a liaison to other departments, organize interdepartmental projects, document collaborative plans of care, and support prior authorizations for medications and diagnostic tests.
  • Participate in nursing and hospital committees, assist with policy and procedure development and revision, and support evidence-based practice and performance improvement.
  • Serve as a specialty resource, participate in orientation and education programs, mentor or precept nursing students and other professionals as needed, stay current with nursing research, and contribute to staff meetings.
  • Maintain confidentiality and follow regulatory, accreditation, safety, and departmental requirements; report safety concerns through MIDAS and escalate appropriately.
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