Registered Nurse Care Coordinator – Cardiology Clinic

Responsibilities

• Provides continuity of care by ensuring smooth transitions between care settings.
• Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
• Completes a nursing assessment to identify the patients individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care.
• Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care.
• Navigates through the diagnosis, treatment and follow-up of the patient throughout the continuum of care.
• Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty.
• Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes.

• Bachelor's Degree in Nursing
• Registered Nurse license issued by the state in which the team member practices
• Typically requires 5 years of experience in clinical nursing that includes experience in nursing assessment, care plan development and in educating patients
• Working knowledge of the components of quality and acute patient care needs specifically related to the area in which care will be performed
• Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians and third party payers.

Demonstrates expertise in nursing assessment, care plan development, and patient education while ensuring continuity of care across various settings. Possesses strong analytical and interpersonal communication skills to effectively collaborate with multidisciplinary teams and advocate for patients and families.