RN Care Coordinator

• RN will be doing Surgical teaching and care coordination with Patients.

• Provides a deliberate patient and family centered partnership with the healthcare team that facilitates a seamless patient experience between the Inpatient and Outpatient settings. 

• Works to maximize the patient’s health outcomes and the patient experience by identifying patient and family needs, completing pre-visit planning, supporting the clinic visit and providing closure to the clinic visits. 

• Works to develop and support a coordinated plan of care between visits to promote a smooth transition for patients and family across the healthcare continuum that instills a sense of trust and patient advocacy.

Core Accountabilities and Weighting:

• Coordinates care across the health care continuum within designated sub-specialty population(s). Serves as single point of contact by facilitating and overseeing transitions in care within and between care settings, providers, and services.

• Manages patient care in-between clinic visits including communication with primary and referring providers.

• Promotes safe, satisfying patient centered care as defined by the patient and family centered care model.

• Facilitates proactive disease management/preventative health care using evidenced based practice.

• Completes visit closure and summarizes visit.

• Completes pre-visit planning to optimize patient visit. Ensures that appropriate authorization for

• procedures/devices and medications have been obtained prior to services needed

• Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served. (as applicable)

• Performs other duties including Performance Goals developed by manager and employee and reported in the employee’s Performance Review as part of UMPhysicians’ Performance Management tools