Ambulatory Clinic Nurse Care Coordinator; RN; Workers Comp

Position: Ambulatory Clinic Nurse Care Coordinator (RN) - Workers Comp
Location: Cariboo and West Okanagan (100 Mile House)

Position Title

Ambulatory Clinic Nurse Care Coordinator (RN) - Workers Comp

Days - Full Time

Olathe Medical Pavilion A

Position Summary / Career Interest
We are seeking a Workers Compensation Clinical Nurse Coordinator. The Clinical Nurse Coordinator (CNC) is responsible for coordinating and managing workers’ compensation cases from initial intake through authorization and clearance for scheduling. The CNC serves as a key liaison between patients, employers, providers, insurance carriers/TPAs, adjusters, nurse case managers, and internal departments to ensure accurate and timely processing of each case.

The CNC obtains and verifies claim, patient, employer, and carrier information; coordinates authorization and required clinical documentation; verifies services are related to the workers’ compensation claim; ensures accurate information is entered into Epic; and works with the appropriate teams to resolve claim, authorization, or billing issues. The CNC ensures cases meet established Work Comp requirements and are financially and administratively cleared before release to scheduling, while providing ongoing coordination and follow-up throughout the patient’s care.

Responsibilities And Essential Job Functions

Responsible for management of patient flow, triage, and direct patient care.

Liaison of communication between front desk staff, nursing staff, physicians, and clinic manager

Manage the care of the patient population by developing expected patient outcomes, defining appropriate resource utilization, and working with the provider to set patient goals.

Provide nursing support/coordination to the practice to optimize patient outcomes and to improve patient’s quality of life through clinical and educational programs and/or support services.

Support patient self-management of disease.

Coordinate continuity of patient care with patients and families following hospital admission, discharge, and ER visits.

Manage high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including a registry.

Develop relationships with patients and competently uses assessment skills to identify physical, psychosocial, financial, and environmental health care needs of the patient.

Educate the patient and appropriate ancillary personnel about the health care needs, safety issues and benefits which include patient education.

Utilize available electronic tools, such as EMR, to efficiently document assessments, clinical finds, plans of treatment and progress toward goals.

Observes, records and reports patient’s condition and reaction to drugs and treatments to physicians. Educates patient/family about diagnostic procedures, medications, nutrition and maintenance of health and wellness.

Maintains/reviews patient records, charts and other pertinent information. Records tests and examination results and then follows up with patient. Posts tests and examination results.

Responds to/refers incoming patient treatment-related phone calls. Instructs patient and family regarding medications and treatment instructions.

Maintains patient confidentiality.

In providing patient care, document using EMR to maintain and/or develop patient records in compliance with practice standards

Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education And Experience

High School Graduate

Bachelor Degree Nursing

2 or more years of RN experience.

Preferred…