RN Care Coordinator - Primary Care Shepherd Park

Minimum Education
BSN (Required)

Minimum Work Experience
At least 3 years inpatient/outpatient nursing experience (Required)

Experience with care coordination and evidence of leadership within multidisciplinary teams. (Preferred)

Required Skills/Knowledge
Excellent communication skills required. Ability to work with diverse groups. Ability to de-escalate difficult situations and perform service recovery as needed. Knowledge of clinical processes and hospital procedures for admission, inpatient stay, transfer, discharge and/or outpatient/ambulatory setting.

Required Licenses and Certifications
Registered Nurse (Required)

Basic Life Support for Healthcare Provider (BLS) (Required)

Functional Accountabilities:
Professional Practice/Research

• Identifies patients/families for Care Coordination services in a systematic manner.

• Completes ongoing staff education regarding coordination of care, culturally sensitive care, compassion fatigue, and other relevant topics.

• Integrate evidence-based practice and research into care delivery

Structural Empowerment

• Follows through on any service needs or requests until complete and satisfactory resolution; updates the team as needed.

• Supports unit-based and/or outpatient family activities and education to improve healthcare outcomes including but not limited to PICU support groups.

• Assists in prioritizing need for inpatient and/or outpatient support services e.g. Concierge, Nurse Navigator, Language Services, Lab, Radiology and Regional outpatient locations.

Exemplary Professional Practice

• Completes documentation of all relevant conversations, meetings, and referrals.

• Rounds daily and escalates any family concerns or needs to the appropriate person or service.

• Orients families to the PICU environment.

• Collaborates with Pharmacies (Specialty and Local) for medication adherence (if applicable)

New Knowledge, Innovations, and Improvements

• Participates in safe sleep rounds for identified infants in the unit and initiates other safety-based training as needed e.g. Family and Friends CPR.

• Sends regular updates to the leadership team regarding family support and patient status.

• Use the nursing process in the clinic setting and in Telehealth services to assess patient problems and concerns; critically analyze and integrate subjective and objective data (if applicable)

Leadership

• Updates team members as frequently as needed to ensure “one voice” consistent communication to families.

• Acts as a liaison among clinical services e.g. Inpatient teams, multidisciplinary teams, surgical teams, and between clinical services and support services e.g. social work, case management.