Nurse Care Coordinator

Job Description

Job Description

Salary : Position Overview :

We are seeking a dedicated and compassionate Nurse Care Coordinator to join our dynamic team at LivWell Community Health Services. This role involves acting as a vital liaison between medical staff and case management, ensuring that our clients receive comprehensive and coordinated care. The ideal candidate will have a strong understanding of HIV care and will be committed to supporting our clients' health and well-being.

Job Responsibilities :

Manage referrals to external providers and clinics, ensuring barriers to care are addressed and assistance is provided when necessary (ex. Transport, appointment reminders).

Assist with directing patient flow during clinic hours.

Collect and send required information and medical records post-appointment

Close out referrals as necessary

Collaborate with medical staff to address client compliance and keep referral records updated with the latest information

Oversee referrals for diagnostic tests (e.g., mammograms, CT scans, MRIs, x-rays) including pre-certification as needed. Discuss any abnormal results with needed staff / physicians and ensure follow-up on orders

Maintain and actively manage the referral reports, ensuring all necessary follow-ups are completed.

Conduct adherence calls regarding medications and appointments, particularly for new clients starting medication.

Maintain a lab calendar and follow up on lab tests that require follow-up

Keep an accurate and comprehensive calendar of all scheduled appointments, tests and necessary transportation needs.

Administer and read TB skin tests, vaccines, and other injections as needed, stepping in for designated staff when necessary.

Assist in managing the interdisciplinary team (IDT) list and supporting the Linkage to care team in re-engaging individuals not retained in care.

Schedule and perform new patient Medical Intakes.

Reviews all new patient records, user defines all pertinent information and scans the records into the electronic chart.

Will travel to satellite clinics to assist with rooming patients.

Will help fill in for medical staff when there is an absence.

Will serve as a source of knowledge for the medical assistance when they have questions or need guidance.

Aids in the development and implementation of tactical work plans to support the goals and objectives of the medical department and the organization.

Verifies client information.

Comply with all LivWell CHS standards.

Utilizes data to enhance service delivery and care quality.

Conduct routine evaluations of service effectiveness.

Operates office equipment as needed to assist in program operations.

Contributes to the team effort by accomplishing related results as needed.

Attending all primary care meetings and all staff meetings.

Trains and certifies to perform rapid-rapid HIV testing.

Complies with all rules, regulations, and procedures of the organization.

Performs all other duties assigned.

Qualifications :

Education / Experience :

• RN required
• Experience in a healthcare setting, particularly in HIV care, is highly desirable.
• Preferred knowledge of clinical immunizations, growth and development, cultural diversity, performance improvement and coding.
• Familiarity with Data entry and EMR systems.
• Strong organizational skills and the ability to manage multiple tasks efficiently.
• Strong verbal and written communication skills.
• Ability to work collaboratively in a team-oriented environment

Skills / Abilities :

Physical Demands :

The physical demands described here represent those that must be met by any worker to successfully perform the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions. The worker is frequently required to stand, walk, use hands to finger, handle, or feel and reach with hands and arms. The worker is occasionally required to sit and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus.

LivWell Community Health Services is an equal opportunity employer. We encourage all applicants without regard to race, nationality, color, religion, sexual orientation, disability, sex, gender identity, age, or veteran status. We are committed to creating an inclusive, diverse, and equitable workplace for all.