RN II​/III Rheumatology Outpatient

Primary Location
Location E Department
Amb Svcs Rheumatology Shift
Day (United States of America) Schedule
Part time
Weekly Hours 24
FTE 0.6
Employee Status Regular

The Pediatric Rheumatology Clinical Nurse Coordinator serves as a key member of the multidisciplinary pediatric rheumatology team, supporting children and adolescents diagnosed with:
Juvenile Idiopathic Arthritis (JIA), Juvenile Dermatomyositis (JDM), Systemic Lupus Erythematosus (SLE). The Clinical Nurse Coordinator partners with physicians, advanced practice providers, infusion services, pharmacy, social work, rehabilitation services, and ancillary departments to improve care coordination, facilitate timely access to care, support disease monitoring, and enhance patient and family outcomes.

FTE Allocation (0.6 FTE): 75% Care Coordination & Population Management, 15% Patient/Family Education, 10% Quality Improvement & Registry Support.

• Serve as a primary nursing resource for patients with complex rheumatologic diseases.
• Coordinate outpatient care, infusion services, laboratory monitoring, imaging studies, and specialty referrals.
• Support transitions between inpatient and outpatient settings.
• Assist with urgent clinical needs, follow-up recommendations, and care planning.
• Facilitate timely access to specialty services and multidisciplinary care.
• Participate in pre-visit planning for complex patients.

• JIA:
  Disease activity assessments, Biologic and DMARD monitoring, Uveitis screening compliance, Laboratory surveillance.
• JDM:
  Muscle enzyme monitoring, MRI and imaging follow-up, Physical and occupational therapy coordination, Disease activity tracking.
• Lupus/SLE:
  Laboratory surveillance, Renal monitoring, Medication adherence monitoring, High-risk patient outreach.

• Support prior authorization processes.
• Coordinate biologic and specialty medication monitoring.
• Provide medication and injection education.
• Assist with adherence monitoring.
• Review immunization recommendations in collaboration with providers and pharmacy.
• Coordinate infusion scheduling and follow-up.

• Provide disease-specific education and reinforcement.
• Educate families regarding medications, laboratory monitoring, and treatment plans.
• Collaborate with schools and community agencies as appropriate.
• Identify and address barriers to care.
• Connect families with available community and institutional resources.

• At 0.6 FTE, the coordinator would support, rather than lead, large-scale quality initiatives.

• Assist with maintenance of patient registries including: JIA, JDM, SLE/Lupus, Additional high-risk rheumatology populations as identified.
• Track selected quality indicators, including:
  Disease activity documentation, Uveitis screening completion, Laboratory monitoring compliance, Missed appointments, High-risk patient outreach.

• Participate in rheumatology quality improvement initiatives.
• Contribute to PDSA cycles and workflow improvement efforts.
• Assist with data collection and reporting.
• Support participation in collaborative networks, including PR-COIN and CARRA quality initiatives.
• Promote adherence to clinical pathways and evidence-based care standards.

Adapted from Rheumatology Nurse Program Coordinator role . [Rheumatolo...nator role | Word]

• Compliance
  - Patient Services Staff
  - Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices.
  
  Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members.
• Interprofessional Practice
  - Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice.
• Clinical inquiry & performance review to improve practice
  - Follows standards and guidelines; implements clinical changes and research-based practices developed by others; recognizes the need for further learning to improve…