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

UC Health•West Chester, OH

About The Position

The Ambulatory RN Care Coordinator is a member of the healthcare team who supports physician clinics by caring for patients with complex and chronic diseases who need additional support during outpatient visits. The role combines direct patient care and administrative responsibilities, with approximately 60% of time devoted to patient-facing duties. The RN works with patients to develop and carry out care plans, provides education, and collaborates with interdisciplinary healthcare team members to optimize care and patient experience. The position includes assessing patients, identifying clinical and psychosocial needs, delivering nursing interventions, coordinating referrals and follow-up, facilitating transitions of care, and communicating with patients and healthcare professionals. The RN also contributes to quality improvement, professional development, regulatory compliance, and patient safety.

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, provide clear treatment instructions, and account for developmental, behavioral, psychological, religious, and cultural needs.
Assess patients during clinic visits, reassess as needed, document nursing history and findings, identify patient needs, and initiate referrals.
Monitor patient status, identify trends and abnormal results, report changes in condition, and respond to emergencies according to nursing standards and protocols.
Maintain patient comfort and environmental safety throughout ambulatory appointments and provide accurate handoffs when patients move between care settings.
Develop and implement individualized care plans and patient care pathways in collaboration with healthcare providers.
Administer medications, perform wound care and point-of-care testing, assist with minor procedures and diagnostic tests, and complete nurse visits and documentation.
Educate patients and families about health conditions, treatment plans, medications, testing, and self-care; assess understanding and document education and response.
Coordinate referrals, follow-up appointments, access to services, transitions of care, and prior authorizations for medications and diagnostic tests.
Communicate test results, treatment plans, and follow-up information; address patient concerns and provide support throughout treatment.
Collaborate with interdisciplinary professionals, participate in team meetings, and serve as a liaison to other departments on interdepartmental projects.
Recruit patients for studies and collaborate with staff nurses on quality assurance.
Participate in committees, policy and procedure development, evidence-based practice, performance improvement, staff meetings, and assigned education programs.
Serve as a clinical resource, preceptor, or mentor as needed, and remain current in nursing research and clinical practice.
Maintain confidentiality, follow regulatory and accreditation requirements and safety policies, report safety concerns using MIDAS, and escalate concerns appropriately.
Perform other duties as assigned.