RN Care Coordinator - Medical Oncology

Cleveland Clinic•Great Barrington, MA
•Onsite

About The Position

Join Cleveland Clinic Fairview Hospital, a Magnet Hospital recognized by the American Nurses Credentialing Center for excellence in professional nursing practice. The RN Care Coordinator works collaboratively with multidisciplinary care team staff across the continuum of care for high-risk patients. The role coordinates care and disease management longitudinally for patients with chronic conditions and episodically for a surgical population. The position focuses on outreach and care coordination for a panel of patients to support optimal outcomes and wellness, reduce preventable emergency department visits and readmissions, and improve patient satisfaction. The caregiver works 8:00 a.m. to 4:30 p.m.; weekends, holidays, and on-call work are not required.

Requirements

  • Graduate of an accredited school of Professional Nursing.
  • Current state licensure as a Registered Nurse (RN).
  • Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross.
  • Three to five years of nursing experience.
  • Registered nurses and advanced practice nurses working in medical oncology, radiation oncology, a cancer center or cancer clinic, and/or administering chemotherapy at an accredited Cleveland Clinic facility must obtain a cancer-specific certification or demonstrate ongoing qualifying education within the facility's accreditation cycle.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Specialty certification.

Responsibilities

  • Collaborate with a multidisciplinary care team across the continuum of care to develop goals, plan interventions, and maximize outcomes for high-risk patients.
  • Coordinate patient care and disease management.
  • Identify specialty care patients with ongoing coordination needs and conduct targeted outreach.
  • Conduct comprehensive clinical assessments addressing disease- and age-specific, medical, behavioral, pharmacy, social, and end-of-life needs.
  • Inform and work with patients and families on care coordination; provide education and coaching; monitor compliance with care plans; reassess progress toward goals; and update plans of care.
  • Serve as a liaison and advocate for patients and families.
  • Assist with transitions of care across settings, ensuring effective communication and planning.
  • Identify barriers, facilitate solutions, and connect patients and others with community resources.
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