Care Coordinator

Department Overview

This is a clinical role that is vital in supporting the work of the nurse coordinators and physicians and Advanced Practice Providers within the Knight Cancer Institute through independently performing a variety of clinical administrative and technical functions. The Care Coordinator performs activities that are system-focused, ensuring the care is seamless across providers and the care continuum. Care coordination is the task of bridging gaps between facilities, specialists, labs, community resources, and primary care.

This position coordinates and manages all the non-nurse patient case-loads, working with the providers on clinic day by providing clinical support with order entry, coordination of appointments for pre-transplant and post-transplant appointments and procedures to a specialized patient population. This position reviews patient records with the provider in order to provide coordination of the patient needs during clinic visit and through the episode of cancer treatment.

The incumbent takes direction from nurse coordinators and physicians, but must use independent judgement in implementation of those directions. The incumbent helps to build and maintain good working relationships with the internal institutional departments that provide services to the Knight Cancer Institute patients.

Key Responsibilities & Performance Standards

• Patient management - Responsible for coordinating and managing the non-nurse aspects of the patient's clinical care process. Reviews the plan of care to ensure it is being executed correctly. Works with the provider in clinic by providing support with order entry, AVS preparation, Medication refills and provides non nursing support and education to the patient and family. Places lab and scheduling orders and follows up with patient to communicate appointment time.
  
  Monitors the Epic inbasket for messages that need attention from the patient, providers, and RNC and handles messages within certification scope. Monitors Epic for refill requests and manages appropriately. Provide education and document patients glucose meter use and pulse reading. Perform authorizations and refill requests for Celgene products. May administer post transplant immunizations when needed.
• Care coordination - Ensures patients follow through with outside referrals to other specialties, labs and diagnostic imaging. Coordinates hospital admission and cell collection with inpatient and ancillary services needed for the bone marrow transplant patient and donor.
• Communication - Provides program information and education to patients, family members, and referring physician office staffs. Participate in multidisciplinary patient conferences, providing information on patients' status to support decision making related to patients' process. Acts as communication link with physicians, referring physician offices, inpatient team, and the Ambulatory Oncology clinic. Provides accurate patient information. Respond to voice mail and email messages based on priority of patient process but with no more than two-day turn around time for response.
  
  Attends MD/department team meetings as appropriate. Triage and responds to patient question in MyChart, phone call, email, and fax in regards to scheduling or care issues within scope or escalate to RNC.
• Documentation/Data Management - Document legibly, concisely and completely to ensure that others can accurately assess the status of patients' progress by reviewing that documentation. Use established checklists and sign-out procedures appropriately. Participate as assigned with database input. Monitors the active department tracking tools (transplant list, collections & admits list, etc.) and provides real-time updates. Initiate and implement processes to facilitate new protocol implementation and tracking tools.
• Program Coordination - Responsible for tasks such as arranging satellite clinics, works with TC to ensure patient results and orders are completed, monitored and updated in EPIC. Attends weekly huddles with provider and RNC to develop and review plan of care with care team. Ordering and scheduling…