Ambulatory Care Coordinator
To assess and identify patient needs to ensure that safety and high quality care is provided through nursing interventions, education, patient advocacy and coordination of services within an outpatient care setting.Responsibilities:
- Facilitates patient care services by managing and individualizing care for patients and their families.
- Identifies patients overdue for visits, labs, or referrals and arranging for follow up services as appropriate.
- Identifies patients not meeting clinical goals, (for example: BP control or glucose control, anticoagulant therapy) and arranging for follow-up services by protocol or as appropriate.
- Creating patient, physician, and clinic level quality performance reports.
- Conducts pre-visit chart review
- Works with patients and families on Self-Management Support
- Assessing and working on the patient’ readiness to change, the importance of change, and confidence in ability to change.
Coordination of Care
- Assists as liaison with patients and their families to physicians, clinical staff, and other departments.
- Acting as a liaison with hospitalized patients and the clinic. Following up with assigned established clinic/office panel patients by phone shortly after hospital discharge or emergency room visit.
- Pro-actively acts as patient advocate, responding to and working to resolve patient concerns.
- Providing a link to community resources collaboratively with social worker/case manager
- Involvement in Performance Improvement activities.
- Ensures the smooth and timely flow of patients within the clinical area responding to high volumes of patients in short-term time spans.
- Demonstrate, understand and perform triage activities for all walk-in patients and medical phone inquiries; using reasonable and astute clinical judgments in order to expedite the appropriate care and treatment of patients.
- Provides working oversight and delegates tasks to licensed practical nurses, and non-licensed medical staff.
- Support and ensure accuracy of LPN/Medical assistant who obtain initial information from patients (i.e.: vital signs, symptoms, and complaints) through interviewing patients and reviewing documentation
- Provide nursing care based on physician and mid-level provider orders, to meet the needs (physical, mental, and emotional) of patients.
- Documents patient's response in medical record and ensures appropriate patient consents and authorizations are obtained all medical treatment
- Maintain universal precautions and infection control practices.
- Prepare patients for examination and assist physician upon request.
- Assess patient condition, recognize adverse signs and symptoms, and react swiftly in emergency situations.
- Administer medications per facility protocols, as prescribed by provider
- Perform a range of nursing procedures, including dressing changes, suture removal, oxygen administration, wound irrigations and catheterizations.
- Assist the providers as required in ensuring all patient information on electronic encounter documentation is complete and accurate.
- Teach patients and/or families proper home health care activities, such as giving injections, taking blood pressures, changing would dressings, etc.
- Comply with all Federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), regulations, directives and standards.
- Maintain confidentiality of all information and support patients’ privacy, rights, and safety.
- Schedules patients' appointments, tests, and procedures via on-line computer system or telephone, and reinforces physician instructions in person and through telephone contact
- Provide coverage for other clinical areas (as required).
- Perform other work-related duties as assigned.
At least 3 years of nursing experience within specialty area
1 year ambulatory care experience preferred.
Current Maryland license in good standing as a Registered Nurse.