Ambulatory Nurse Care Coordinator / UMMC Coordinated Care Center

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Job ID: 57762
Area of Interest: Professionals
Location: Baltimore, MD US
Hours of Work: m-f 8-5
Job Facility: University of Maryland Medical Center
Employment Type: Not Indicated
Shift: DAY
What You Will Do:

The role of the Nurse Care Coordinator patient focused, outcome-oriented and based on general and specialty professional standards and functions within an interdisciplinary practice model.This role is accountable for the continuity and integration of patient care services.

As part of the interdisciplinary team lead by the Primary Care Provider, the case manager has an integral role in the continuity and integration of patient care services.

  • As part of the interdisciplinary team lead by the Primary Care Provider, the case manager has an integral role in the continuity and integration of patient care services.

  • Provides the patient and/or family education about relevant diseases and their management, including medication management.

  • Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options. Tracks patients’ progress towards care plan goals and revises the care plan as indicated

  • Assists with the maintenance of patient registries to manage specific patient populations and improve disease outcome measures. Assists with the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders.

  • Develops effective working relationships with physicians, nurse practitioners, nurses, allied health professionals (e.g. social workers, psychologists, etc.), medical assistants, and referral coordinators.

  • Models effective customer service behaviors. Identifies and acts on opportunities to understand and respond to the customer.

  • Takes the lead in ensuring the continuity and consistency of care which extends beyond practice boundaries.  Serves as a liaison to acute care hospitals and post-acute care services to facilitate comprehensive discharge planning and follow-up care.

  • As part of the interdisciplinary team lead by the Primary Care Provider, the case manager has an integral role in the continuity and integration of patient care services. 

  • Provides the patient and/or family education about relevant diseases and their management, including medication management.

  • Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options. Tracks patients’ progress towards care plan goals and revises the care plan as indicated.

  • Assists with the maintenance of patient registries to manage specific patient populations and improve disease outcome measures.  

  • Assists with the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders.

  • Develops effective working relationships with physicians, nurse practitioners, nurses, allied health professionals (e.g. social workers, psychologists, etc.), medical assistants, and referral coordinators.

  • Models effective customer service behaviors. Identifies and acts on opportunities to understand and respond to the customer.

  • Takes the lead in ensuring the continuity and consistency of care which extends beyond practice boundaries.  Serves as a liaison to acute care hospitals and post-acute care services to facilitate comprehensive discharge planning and follow-up care.


 


What You Need to Be Successful:

  • Graduation from an accredited school of nursing is required
  • Bachelor’s of Science (BSN) preferred
  • Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
  • Three years of clinical nursing experience is required
  • Previous Case Management and/or Transitional Care experience preferred

We are an Equal Opportunity/Affirmative Action employer.  All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. 
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