Registered Nurse (RN) - Med Surg
Jane Pauley Community Health Center
Arlington, TX

Patient Care Coordinator Nurse

Welcome to Jane Pauley Community Health Center Were happy you are considering joining our Nursing Team Candidates with Family Medicine experience will be preferred This position is full time splitting time in office and optional work from home Our competitive employment offerings include Have Balance Investing in YOU No after hourson call responsibilities; office hours M F 8 am 5 pmMedical vision and dental plansGenerous vacation time 216 hours annually or pro ratedExtensive loan repayment through NHSC401K plan and match at 6Paid life insurance plansWork anniversary recognitionBe Supported A Team Based Approach A support structure to care for diverse patient populationsOpportunities to grow your skills while improving our organizationDirect access to and communication with executive leadershipChange Lives Caring for Our Communities Federal and grant funding to help those who need it mostKey partnerships with major health systems and local groupsCommitment to diversity equity and inclusion in meeting needs of our patients and employeesJob Summary Patient Care Coordinator RN The Patient Care Coordinator RN is an essential member of the practice care team at The Jane Pauley Community Health Center JPCHC Under the direction of the Practice Manager the Patient Care Coordinator supports the promotion of health disease prevention and management teaching and education developing nursing care plans and communicating with external facilities and patients families Works hand in hand with all members of the healthcare team to achieve quality outcomes for the population of the practice site Patient Care Coordinator role will be a hybrid remote role The Hybrid Remote terms and work schedule will be discussed and mutually agreed upon by JPCHC leadership and the RN Essential Duties and Responsibilities include the following Other duties may be assigned As a Patient Advocate Assists patients through the healthcare system by acting as a patient advocateFacilitates and provides health patient education utilizing evidence based practice JPCHC approved patient handouts and assessment of patients or families teach back skillsFacilitates patient self care management of disease and behavior modification interventionsCoordinates continuity of patient care internal to JPCHC and between internal teams and external healthcare facilities including referrals from the primary care to a specialty care entityCoordinates continuity of patient care with patients and families following hospital admission discharge and ER visits through telephonic outreach and use of health information exchangeCollaborate with the Care Team for smooth transition of care for patients referred to JPCHC providersCoordinates continuity of patient care for assigned high risk patient populations and facilitates scheduling of follow up appointment based on internal providers plan of carePerforms phone triage within the scope of hisher of training and license and utilize age appropriate clinical assessment and intervention with patients to support their psycho social and medical needs provides recommendation to patients or families based on JPCHC triage protocol andor as recommended by medical providersPerforms medication refills and prior authorizationDocuments timely consistently and thoroughly of patients face to face encounters or phone interactions and contacts attempts in the EMR utilizing standard nursing processAs a Site Clinical Quality Improvement Liaison Participates in clinical quality improvement initiatives and provides recommendation on clinical best practiceProvides feedback to JPCHC QI Committee on the quality and effectiveness of quality metrics toolsWorks closely with providers and clinical staff of pre visit planning activitiesMonitors closure of care gaps and quality metrics and provide recommendations on clinical best practicePerforms proactive outreach of patients due for preventive screeningsMonitors overdue lab results and notifies medical providers of abnormal findings or critical valuesParticipates on a team for data collection health outcomes reporting clinical audits and programmatic evaluation related to the Patient Centered Medical Home and Medical Neighborhood initiativesAs a Nurse Preceptor Participates in precepting newly hired clinical staff or nursing studentsEducation andor Experience Graduation from accredited Nursing Program requiredCurrent state licensure as a Registered Nurse requiredTwo years experience as a triage or in ambulatory insurance or acute care setting preferred2 5 years experience in chronic disease management case management utilization management and adult acute care preferred1 year in a Patient Centered Medical Home clinical setting or knowledge of the Patient Centered Medical Home initiative preferredBasic Life Support through AHA requiredMore about Jane Pauley Community Health Center Join a rewarding place to make a difference Working at Jane Pauley Community Health Center JPCHC is more than a job It is a place to achieve work life balance and join a collaborative team that makes a direct impact on our local communities in Central Indiana Our mission as a Federally Qualified Health Center FQHC is to promote a healthy community through the provision of accessible respectful and integrated healthcare with local partners to any and all individuals and families regardless of insurance status It is for this reason Indys own Emmy winning TV news personality Jane Pauley lends her name to our organization Today we are experiencing exciting growth to which you can lend your talents Invest your skills in changing lives and let us invest in you Thank you for considering being part of our passionate team