Registered Nurse Care Coordinator

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Duke Health Lake Norman Hospital

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

Job Summary
Registered Nurse Care Coordinator is an integral part of the health care team and is responsible for working with other healthcare professionals to coordinate care for patients through the life span in multiple settings to include inpatient, outpatient or home health. The position serves as a clinical expert for a specific patient population to include transplant services, heart services, children services and home health. The position services as a clinical expert for complex patient populations, patient and family educator, and a care coordination/transition manager.

Work Performed

• Clinical Expert Collaborates with providers, case managers, registered and other members of the health care to assess patient needs, develop a plan of care and optimize healthcare outcomes.
• Provides triage support the patient populations across multiple clinical areas.
• Monitors patient outcomes and documents patient response to care.
• Ensures providers are informed on outcomes.
• Serves as the point of contact for their patient population, or the care team to manage complex health needs.
• Provide patient consultations and information on recommended treatments.
• Coordinates prescription refill management, including creation and submission of prior authorization forms.
• Completes clinical paperwork including lab, school, and leave forms, medical releases, emergency, and travel letters, durable medical equipment, etc.
• Assist in coordinating complex patient visits.
• Supports patients through pre-visit clinical assessments, to include collection of appropriate history.
• Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested.
• Educator Provides education to the patient and caregiver related to the services needed to facilitate access to care with Duke Health; disease state; and interventions to support health status.
• Assists in the coordination of home discharge plan and facilitates the transition to the hospital care coordination team.
• Instruct patients and families regarding treatments, procedures, medications, and continuation of care.
• Serves as an expert in supporting access to internal and external resources for patients.
• Care Coordinator Supports with procuring necessary medications and coverage options, and treatment equipment.
• Coordinate internal and external referral appointments.
• Coordinates post-hospitalization care and discharge planning.
• Collaborates with inpatient teams to support discharge plans.
• Assist patients and patient care givers with education on cost of service, insurance coverage, and payment options with the patient.
• Assist care team with goals for quality assurance and best practices.
• Provide community resources and referrals for continuing care.
• Provide clinical consultation answers for patients and patient support.
• Ensure compliance with professional standards & regulatory requirements.
• Investigates coverage of the newest medications/therapies.
• Completes disability, or other pre-inpatient and discharge forms.
• Maintain timely documentation of assessment findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required.

Knowledge, Skills and Abilities

• Knowledge of scope for a registered nurse.
• Knowledge of and appropriate application of the nursing process.
• Ability to independently seek out resources and work collaboratively.
• Ability to establish and maintain effective working relationships.
• Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.
• Ability to teach patients and families in accordance with the nursing plan of care.

Level Characteristics

N/A

Minimum Qualifications

Education

BSN Required

Experience

3 years of nursing experience required.

Degrees, Licensures, Certifications

Current or compact RN licensure in the state of North Carolina required.