Nurse Care Coordinator

Position Overview:

We are seeking a dedicated and compassionate Nurse Care Coordinator to join our dynamic team at Liv Well 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.

• 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 Liv Well 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.

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
:

• Quick and accurate word processing skills;
  Knowledge of touch-typing system.
• Excellent knowledge of word processing tools and spreadsheets. (MS Office Word, Excel etc.)
• Working knowledge of office equipment and computer hardware and peripheraldevices.
• Basic understanding of databases.
• Great attention to detail.
• Strong verbal and written communication skills.
• Integrity, discretion, and respect for confidentiality and privacy.
• Organization and time management skills.
• Ability to read, understand, evaluate, and verify a wide range of materials and information to recognize and correct discrepancies.
• Strong problem-solving skills.
• The ability to create data driven strategies.
• The ability to analyze complex data to make conclusions about that data.
• The ability to create…