Nurse Coordinator

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New Haven, CT
Apr 20, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Summary:
Under the direction of the Specialty Section Chief and the Director, the primary role of the Nurse Coordinator is to ensure coordination of patient care across the continuum. This includes communication with patients/families, staff and providers.
1. Assists in the coordination of the clinical program
2. Maintains contact with patients/families and referring physicians. Convey pertinent medical information in collaboration with the attending physicians and/or fellows to patient's primary and referring physicians and insurance providers.
3. Facilitates diagnostic, diabetes related treatments follow-up by participating regularly in rounds with the provider team.
4. Collaborate with the patient's nurses, as well as other members of the health care team regarding current medical plan of care. Attend interdisciplinary meetings, discharge planning rounds and family meetings as a representative of the service. Function as a nurse resource to the staff for patients on the service and consultation for patients seen by the service.
5. Maintains inpatient follow-up by assessing patient needs during hospitalization, and address concerns and questions, and provides education and support. Collaborate with the appropriate individuals to facilitate the transition and coordination of follow-up after clinic visits, and/or follow-up by consulting services. Communicate with referring and primary physicians following patient discharge.
6. Participates in enhancing the professional development of nursing staff and other health care providers involved in the care of the patients. Facilitate self-care of patients through patient and family education.
7. Functions as the educational resource to staff nurses and other health care providers in the disease unit and/or quality initiatives.
8. Collaborates physician and nursing staff on the development of Patient Care Standards.
9. Collaborates with nurse in assessing the learning needs of patients and their families and providing education support when needed.
10. Provides written information to patients and their families pertaining to illness /procedures and develops teaching tools as needed.
11. Conveys information pertaining to hospital policy and procedure to resident staff faculty and other members of the service.
12. Serves as a primary contact for patient and family
13. Facilitates team approach to total plan of care
14. Performs ongoing assessment and management of care
15. Coordinates care of multiple providers across the care continuum
16. Assists in the coordination of the clinical program through interaction with internal and external contacts.
17. Participates in safety and quality improvement efforts
18. Facilities the integration of documentation and information systems
19. Assists in community outreach efforts
20. Serves as bridge to assist patients who have difficulty maintaining obtaining medications.
21. As a member of the patient care team, provides direct patient care during clinic visits in collaboration with the house staff and nursing staff.
22. Facilitates the continued care of patients following discharge through consultation with patients/families and home care agencies. Under the supervision of attending physicians and/or fellows, phones in medical prescriptions and treatments to pharmacies or home care agencies.
23. Remains current regarding issues pertaining to the medical specialty to enhance clinical practice.
24. Collaborates with research investigators and protocol personnel
25. Fosters academic and clinical investigation through participation in research projects in the specialty practice area and related fields of study. Participate in literature review, data collection and data entry.

Responsibilities:
  • 1. CLINICAL PRACTICE
  • 1.1. Manages incoming referrals, coordinates initial patient contact by attending and compiles necessary list of presented patients, identifying additions or deletions in collaboration with attending physicians and house staff.
  • 1.2. Coordinates testing and consultations
  • 1.3. Facilitates team approach to total plan of care
  • 1.4. Coordinates care of multiple providers across the care continuum
  • 1.5. During initial and pre-admission contacts with patients' families, consults with the service financial analyst to determine how best to address issues which may arise regarding patient benefits and medical reimbursementsnteracts with payors, financial counselors and case managers
  • 1.6. Communicates with team members
  • 1.7. Maintains pre-admission contact with patients' families and referring physicians. Conveys pertinent medical information in collaboration with the attending physicians and/or houses staff to patients' primary and referring physicians and insurance providers
  • 1.8. Facilitates diagnostic, post-operative and/or treatment follow-up by participating regularly in regular rounds with the provider team.
  • 1.9. Collaborates with the patient's primary and associate nurses, as well as other members of the health care team regarding current medical plan of care. Attends interdisciplinary meetings, discharge planning rounds and family meetings as a representative of the service. Functions as a nurse resource to the staff for patients on the service and consultation for patients seen by the service
  • 1.10. Maintains postoperative follow-up of Surgery patients through telephone communication. Assures continuity of care.
  • 1.11. Maintains inpatient follow-up, operations, assesses patient needs, concerns and questions, and provides education and information. Collaborates with the appropriate individuals to facilitate the transition and coordination of follow-up after clinic visits, and/or follow-up by consulting services. Communicates with referring and primary physicians following patient discharge .
  • 1.12. Conveys information pertaining to hospital policy and procedure to resident staff faculty and other members of the service.
  • 1.13. Role models service excellence behaviors, identifies and takes action to resolve demonstrated discrepancies; manages patient complaints on site and in collaboration with Patient Relations and, when necessary, with the Program Manger and Medical Director; accurately identifies, reports/refers issues that are complex or unsuccessfully resolved to PM and Medical Director
  • 1.14. Coaches patient/family through diagnostic and therapeutic experiences to minimize anxiety and ensure adherence to medical plan; provides warm handoffs at various points but maintains contact with patient/family and point of care managers as patients move along the continuum.
  • 1.15. Responds to patient/family telephone contacts according to assessment findings, physician direction and/or established standards of care; prescription renewal or initiation requires a physician signature
  • 2. CLINICAL PROGRAM
  • 2.1. Assists in marketing and community outreach efforts
  • 2.2. Assists in the coordination of the clinical program
  • 2.3. Interacts with internal and external contacts regarding the clinical program
  • 2.4. Participates in quality improvement efforts
  • 2.5. Facilitates the integration of documentation and information systems
  • 2.6. As a member of the patient care team, provides direct patient care during clinic visits in collaboration with the house staff and nursing staff.
  • 2.7. Remains current regarding issues and medical/nursing information pertaining to the medical specialty to enhance clinical practice.
  • 3. RESEARCH
  • 3.1. Collaborates with investigators and protocol personnel
  • 3.2. Promotes clinical trials and research activities
  • 3.3. Fosters academic and clinical investigation through participation in research projects in the specialty practice area and related fields of study. Participates in literature review, data collection and data entry.
  • 4. PROFESSIONAL DEVELOPMENT/ EDUCATION
  • 4.1. Participates in enhancing the professional development of the nursing staff and other health care providers involved in the care of the surgical patients. Facilitates self care of patients through patient and family education
  • 4.2. Assesses educational needs of staff and provides in-service education when necessary.
  • 4.3. Collaborates with the Clinical Nurse Specialists and nursing staff on the development of Patient Care Standards/Critical Pathways involving the care of patients.
  • 4.4. Collaborates with the primary nurse in assessing the learning needs of patients and their families and providing education support when needed.
  • 4.5. Provides written information to patients and their families pertaining to illness or surgical procedures and develops teaching tools as needed
  • 4.6. Provides patient/family instruction related to disease, treatment, potential adverse effects, symptom self-identification and management, parameters for distinguishing between what can be self-managed and what requires surgical team intervention, how to contact the team
  • 4.7. Keeps abreast of new and emerging clinical information relevant to practice and leadership skills through active participation in continuing education opportunities including local, regional and national meetings, presentation and publishing

    Other information:

    EDUCATION:

    Bachelor's Degree in Nursing preferred. Connecticut RN license

    EXPERIENCE:

    A minimum of three (3) years experience in adult inpatient services, ambulatory or critical care

    SPECIAL_SKILLS:

    Knowledge of physiology and disease involving the disease unit. Excellent communication skills.
    ACCOUNTABILITY:

    Position is held accountable for collaboration and consultation, education, clinical practice, and research through yearly written evaluations.
    COMPLEXITY:

    Exercises independent judgment in determining needs of the specialty patient population.
    PHYSICAL_DEMAND:

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    Job Info

    Job: 4614

    Department: Liver Operational
    Category: Clinical-other
    Status: Full Time
    Shift: DAYS
    Hours: 40.00

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