Patient Care Coordinator (LPN)

Title: Patient Care Coordinator

Reports to: Nurse Manager

FLSA Status: Non-Exempt

Personnel Supervised: None

POSITION SUMMARY:

The Patient Care Coordinator will have direct and indirect patient care responsibilities. This position will work in collaboration with the clinical care team, pharmacy, and QI department to ensure optimal outcomes for patients' health. The primary responsibility of this position is to deliver safe, high quality, and efficient primary care to a patient population diverse in age, health status, and socioeconomic level with focus on adult primary care. Secondary responsibilities include but are not limited to providing direct nursing care to patients by providing patient education, phone triage, and appointment scheduling. This position requires strong leadership and communication skills, and an excellent knowledge base of internal medicine primary care nursing. Focusing on endocrine, diabetes, and metabolism.

MINIMAL QUALIFICATIONS:

• Education: Graduate of an accredited School of Nursing
• Experience: LPN, preferably one year of care coordination or care management
• License: Florida unrestricted LPN nursing license
• BLS certification
• Computer literacy
• Bilingual (Spanish/English) preferred.

KNOWLEDGE AND SKILLS

• Knowledge of current professional nursing theory, practice, and techniques
• Knowledge of current nursing practices in an outpatient primary care setting
• Knowledge of assessment of patient needs and services.
• Knowledge of current professional nursing and pharmaceutical products, Universal Precautions, and emergency situations
• Knowledge of basic pathophysiology of diseases commonly managed in Family Medicine
• Knowledge of the application of nursing techniques (example: Triage, blood pressure monitoring, glucose monitoring, etc.)
• Knowledge of patient teaching and education (example: self-blood pressure monitoring, nutrition instruction, diabetes self-care instruction)
• Knowledge of general patient care and treatment procedures, equipment, rules, regulations, and ethics
• Knowledge of Utilization Review Accreditation Commission (URAC) Policies and Procedures
• Knowledge of processing and obtaining prior authorizations
• Knowledge of making observations of general physical condition and needs of patients and when to confer with a physician about the emotional or physical condition of a patient
• Knowledge of the principles of aseptic and sterile techniques and infection control techniques
• Knowledge of the techniques of administration of common medications, including immunizations, other injectable medications, and allergy injections using sterile technique, and knowledge of the side effects of these medications
• Knowledge of state and federal drug control laws, rules, and regulations
• Knowledge of emergency techniques and procedures
• Knowledge of common medical supplies and equipment
• Excellent interpersonal, communication and leadership skills
• Ability to demonstrate priority-setting and ability to work in a complex environment
• Ability to function with a high degree of independence and collaboration with other health care providers
• Commitment to service, quality, and departmental core values

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:

• Be familiar with CFHC's program philosophies, goals, and objectives. Be cognizant of and comply with all CFHC's policies and procedures, as well as state and federal regulations.
• Be competent in performing the duties of a nurse.
• Understand the requirements of CFHC's Exposure Control Plan. Personally utilize universal precautions when practicing in a clinical setting.
• Participate in staff outreach and off-site health care programs as requested by the DON, CMO, or CEO. Represent CFHC in the community.
• Report as needed to DON and DOP any pertinent information or situations that impact on patient care or CFHC liability.
• Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the DON, DOP, CMO, or CEO).
• Demonstrate ability to work cooperatively with other members of the clinical team. Be supportive of coworkers.
• Maintain a neat and professional appearance at all times.
• Carry out any other activities deemed appropriate by the DON, CMO, or CEO.

Primary Duties include, but are not limited to, the following:

• Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.
• Work closely with PCP to manage patient "care items" which could include; medication refills per protocol, lab triage, document management, management of durable medical equipment (ie. Glucometer, test strips, lancets), prior authorizations of needed medications or other services.
• Use patient data to track and schedule follow up appointments.
• Provide proactive utilization management for patients with high risk needs.
• Assist patients in obtaining appropriate medications and medical supplies and equipment, including coordination of pharmaceutical patient assistance programs.
• Participate in quality improvement, quality assurance and innovation activities to ensure optimal level of care delivery.
• This position will ensure all HEDIS measures have been met for those assigned patients and all care gaps have been identified.
• Assist in the coordination of warm hand-offs or "transfer of trust" between care team, pharmacy, or other support services during the office visit.
• Carry out other duties as assigned by the DON, COP and CQ/RMO.
• Other duties as assigned

PHYSICAL REQUIREMENTS:

(Subject to Change)

• Requires 80% or more time spent standing/walking
• Independently mobile
• Ability to lift weight equivalents to what would be required when occasionally assisting and positioning patients, re-positioning equipment and lifting supplies
• Ability to adapt and function in varying environments of workload, patient acuity, work-sites, and work shifts.

American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.