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

UC Health•West Chester Township, OH

About The Position

The Ambulatory RN - Care Coordinator is a vital member of the healthcare team responsible for ensuring seamless, high-quality care for patients in an ambulatory setting. The position combines direct patient care and administrative responsibilities, with approximately 60% of time dedicated to patient-facing duties. The RN supports ambulatory physician clinics by caring for patients with complex and chronic diseases who need additional support during outpatient visits. The role works with patients to develop and carry out care plans, provide education, and collaborate with interdisciplinary healthcare team members to optimize patient care and experience. The position includes clinical assessment and intervention, patient and family education, care coordination, professional leadership, and compliance and safety responsibilities. The RN coordinates referrals and follow-up, supports transitions of care, communicates results and treatment plans, documents patient care, and participates in quality improvement and professional development activities.

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, physical, psychological, religious, and cultural needs.
Provide clear treatment instructions and involve family or guardians in assessment, treatment, and continuing care.
Recognize and respond appropriately to behavioral health concerns, abuse or neglect, and signs or symptoms requiring intervention.
Provide safe treatments, medication administration, and equipment operation.
Act as an expert clinician and role model in providing quality patient care within the specialty area.
Use the nursing process to assess, plan, implement, and evaluate patient care.
Conduct and document thorough patient assessments, reassess patients as needed, monitor trends, and initiate referrals based on patient needs.
Maintain patient comfort and 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 and other nursing interventions as needed, including medication administration and wound care.
Develop and implement individualized care plans and care pathways in collaboration with healthcare providers.
Complete nurse visits and document care accurately and promptly, including real-time documentation.
Assist with minor procedures and diagnostic tests while ensuring patient comfort and safety.
Recruit patients for studies and collaborate with staff nurses on quality assurance.
Introduce the RN role to new patients, establish care priorities, and apply critical thinking and accountability when implementing physician orders.
Maintain a positive, professional, cooperative, and calm demeanor in interactions, including during emergent or challenging behavioral situations.
Identify patient and family education needs; educate them about health conditions, treatment plans, medications, self-care, and related care; reassess understanding and provide additional education as needed.
Apply current nursing literature and document patient and family education and responses.
Coordinate referrals, follow-up appointments, and access to services to support continuity and transitions of care.
Communicate test results, treatment plans, and follow-up care to patients; address concerns and provide support and guidance.
Anticipate changing patient and family needs and act proactively to reduce care delays and financial toxicity and improve patient satisfaction.
Participate in interdisciplinary team meetings and collaborate with social workers, dietitians, and other healthcare professionals.
Serve as a liaison to other departments and organize interdepartmental projects.
Document collaborative plans of care and support prior authorization for medications and diagnostic tests.
Serve on nursing, hospital-wide, and unit-based committees; assist with developing and revising nursing policies and procedures.
Help implement evidence-based practice and participate in system-wide performance improvement.
Serve as a specialty resource and demonstrate accountability and commitment to patient care standards.
Participate in assigned orientation and education programs; serve as a preceptor or mentor when needed.
Stay current with research relevant to clinical nursing practice and contribute to staff meetings.
Maintain confidentiality and understanding of regulatory and accreditation requirements.
Monitor safety and departmental policies, share safety best practices with relevant teams, and understand legal and regulatory issues affecting care delivery and reimbursement.
Use MIDAS to report safety concerns and escalate them appropriately.
Perform other duties as assigned.