Nurse Care Coordinator - Primary Care Shaw Metro

Minimum Education
BSN  (Required)

Minimum Work Experience
At least 3 years of inpatient/outpatient nursing experience (Required)

Required Skills/Knowledge
Excellent communication skills required. Ability to work with diverse groups. Ability to de-escalate difficult situations and perform service recovery as needed. Knowledge of clinical processes and hospital procedures for admission, inpatient stay, transfer, discharge and/or outpatient/ambulatory setting.

Required Licenses and Certifications
Registered Nurse in the District of Columbia (Required)

• Basic Life Support for Healthcare Provider (BLS) (Required)
• Functional Accountabilities
• Professional Practice/Research
• Identifies patients/families for Care Coordination services in a systematic manner.
• Completes ongoing staff education regarding coordination of care, culturally sensitive care, compassion fatigue, and other relevant topics.
• Integrate evidence-based practice and research into care delivery

Structural Empowerment

• Follows through on any service needs or requests until complete and satisfactory resolution; updates the team as needed.
• Supports unit-based and/or outpatient family activities and education to improve healthcare outcomes including but not limited to PICU support groups.
• Assists in prioritizing need for inpatient and/or outpatient support services e.g. Concierge, Nurse Navigator, Language Services, Lab, Radiology and Regional outpatient locations.

Exemplary Professional Practice

• Completes documentation of all relevant conversations, meetings, and referrals.
• Rounds daily and escalates any family concerns or needs to the appropriate person or service.
• Orients families to the PICU environment.
• Collaborates with Pharmacies (Specialty and Local) for medication adherence (if applicable)

New Knowledge, Innovations, and Improvements

• Participates in safe sleep rounds for identified infants in the unit and initiates other safety-based training as needed e.g. Family and Friends CPR.
• Sends regular updates to the leadership team regarding family support and patient status.
• Use the nursing process in the clinic setting and in Telehealth services to assess patient problems and concerns; critically analyze and integrate subjective and objective data (if applicable)

Leadership

• Updates team members as frequently as needed to ensure “one voice” consistent communication to families.
• Acts as a liaison among clinical services e.g. Inpatient teams, multidisciplinary teams, surgical teams; and between clinical services and support services e.g. social work, case management.

Organizational Accountabilitiesorganizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Receptive to others’ ideas and opinions

Performance Improvement/Problem-Solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently
• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance