Care Coordinator; Care Coordinator II

Department Overview

This is a clinical role that is vital in supporting the work of the nurse coordinators, nurse navigators, 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 caseloads, working with the providers and nurses, providing clinical support with order entry, coordination of appointments for pre transplant and post-transplant appointments, pre-consult, restaging, and procedures to a specialized patient population. This position reviews patient records with the nurse coordinator, nurse navigator, or the physician to provide coordination of the patient needs before and during the clinic visit and through the episode of cancer treatment.

This position works in clinic for new patient record management sent via mail, including paperwork and uploading imaging from CDs. The incumbent takes direction from nurse coordinators, nurse navigators, 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.

• 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 clinical team by providing support with order entry and provides non nursing support and education to the patient and family, preparing for first visit and subsequent care. Places lab and scheduling orders.
  
  Assists with uploading new patient records and imaging CDs that come via US mail. Works with nurse navigator and access liaison to ensure readiness of the new patient's record for the first consult. Monitors the Epic inbasket for messages that need attention from the patient, providers, and nurses and handles messages within certification scope. Assists in monitoring status of visit authorization.
• Care coordination
  - Ensures patients follow through with outside referrals to other specialties, labs and diagnostic imaging. Assists with monitoring for readiness for restaging appts. Coordinates hospital admission with inpatient and ancillary services.
• Communication
  - Provides program information and education to patients, family members, and referring physician office staffs. Participate in multidisciplinary patient conferences (as necessary by team) 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 turnaround time for response.
  
  Attends MD/department team meetings as appropriate. Triage and responds to patient question in Mychart, phone call, email, and fax in regard to scheduling or care issues within scope or escalates to RN. Use a script to contact new patients who live out of state, preparing them for the visit and what to expect for next steps.
• 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 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 and RN to…