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. SUMMARY:
Under the direction of the Section Chief, the program manager, and the Medical director, the primary
role of the Nurse Coordinator is to ensure coordination of patient care across the continuum with specific emphasis
on the outpatient clinical needs of patients and families. This is facilitated
through communication and collaboration with patients/families, staff and providers, as well as fellows.
1. Coordinates initial patient contact with attending identifying additions or deletions.
2. Maintains pre- new visit contact with patients/families and referring physicians. Conveys pertinent medical
information in collaboration with the attending physicians and/or fellows to patient's primary and referring
physicians and insurance providers.
3. Participates in enhancing the professional development of nursing staff and other health care providers
involved in the care of the patients. Facilitates self care of patients through patient and family education.
4. Functions as the educational resource to staff nurses and other health care providers in the disease unit
and/or quality initiatives.
5. Provides written information to patients and their families pertaining to illness or surgical procedures and
develops teaching tools as needed.
6. Serves as a primary contact for patient and family.
7. Facilitates team approach to total plan of care.
8. Performs ongoing assessment and management of care.
9. Coordinates care of multiple providers across the care continuum.
10. Assists in the coordination of the clinical program through interaction with internal and external contacts.
11. Participates in safety and quality improvement efforts.
12. Facilitates the integration on documentation and information systems
13. Assists in marketing and community outreach efforts.
14. Assists in the coordination of the clinical program.
15. As a member of the patient care team, provides direct patient care during clinic visits in collaboration with
care team to facilitate appropriate follow-up diagnostic testing, referrals to additional specialty practices and
other post clinic activities as warranted by the treating provider.
16. Facilitates the continued care of patients following discharge through consultation with patients /families and
home care agencies.
17. Remains current regarding issues pertaining to the medical specialty to enhance clinical practice.
18. Attends weekly MS conferences as indicated.
19. Collaborates with research investigators and protocol personnel.
20. Fosters academic and clinical investigation through participation in research projects in the specialty practice
area and related fields of study.
21. Follows program guidelines related to triaging, scheduling, patient return calls and follow-up support as
22. Conducts return and follow up phone calls and provides instructions for patients as directed by the treating
23. Works collaboratively and cooperatively with the Patient Navigation Specialist and the scheduling staff to
ensure the appropriateness of the bookings and serves as a resource for clinical issues, concerns and
problems related to the above.
24. Maintains inpatient follow-up by assessing patient needs, concerns and questions, and provides education
and support. Collaborates with the appropriate individuals to facilitate the transition and coordination of
follow-up after clinic visits, and/or follow by consulting services.
Bachelor's degree in nursing preferred.
Minimum of two years medical surgical experience in an acute care setting or two years experience in an outpatient
SPECIAL SKILLS :
Excellent collaborative, communication and interpersonal skills. Ability to triage non -urgent and emergent
situations/events over the phone and in the clinic setting.
RN in the state of Connecticut
SPECIAL WORKING CONDITIONS AND PHYSICAL DEMAND :
Must be able to mobilize between the administrative office, the hospital inpatient units and the clinics.