RN Care Coordinator, Primary Care, Full Time, First Shift

UC Health•Montgomery, 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 role 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 position 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 role includes patient assessment and nursing interventions, patient and family education, care coordination, leadership and professional development, and compliance and safety responsibilities. The RN also supports transitions of care, referrals, follow-up scheduling, medication and diagnostic-test prior authorizations, and quality and safety 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, involve family or guardians in care, provide clear treatment instructions, and respond appropriately to patients’ developmental, physical, behavioral, psychological, religious, and cultural needs.
Perform treatments, administer medications, operate equipment safely, and recognize and respond to signs or symptoms of abuse or neglect.
Conduct and document patient assessments, reassess patients as needed, collect and monitor patient data, identify trends, and initiate referrals based on patient needs.
Maintain patient comfort and safety throughout ambulatory appointments and respond to emergencies using applicable nursing standards, policies, procedures, and protocols.
Provide accurate hand-off reports when patients move between ambulatory and inpatient areas, and report changes in condition and abnormal laboratory results or other findings.
Perform point-of-care testing as needed and initiate individualized care plans with healthcare providers based on clinical assessments, disease processes, and psychosocial needs.
Develop and use patient-care pathways to support consistent quality of care; administer medications, provide wound care and other nursing interventions, complete nurse visits, and assist with minor procedures and diagnostic tests.
Recruit patients for studies and collaborate with staff nurses on quality assurance.
Introduce the role to new patients, prioritize care, apply critical thinking when evaluating and implementing physician orders, and document nursing care accurately and in real time.
Educate patients and families about health conditions, treatment plans, medications, self-care, diagnostic testing, and interdisciplinary care; reassess understanding, provide further education as needed, and document teaching and responses.
Coordinate referrals, follow-up appointments, services, and transitions of care to support continuity and timely access; communicate test results, treatment plans, and follow-up instructions to patients.
Address patient concerns, provide support, anticipate changing needs, and take proactive steps to reduce care delays and financial toxicity and improve patient satisfaction.
Participate in interdisciplinary meetings and collaborate with social workers, dietitians, and other healthcare professionals; liaise with 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 or revising policies and procedures; support evidence-based practice and system-wide performance improvement.
Serve as a specialty resource, participate in orientation and education programs, precept or mentor others as needed, remain current in nursing research, and contribute to staff meetings.
Maintain confidentiality, understand regulatory and accreditation requirements, monitor safety and departmental policies, share safety practices, and report and escalate safety concerns using MIDAS.
Maintain a positive, professional, cooperative, and calm demeanor in interactions with patients, staff, physicians, and management.
Perform other duties as assigned.