Clinical Care Coordinator - Urgent Care/Infusion (45487)

Under general supervision of the Patient Centered Medical Home (PCMH) Manager, the Urgent Care (UC) and Infusion Clinical Care Coordinator will work independently and in conjunction with multidisciplinary team members involved in coordinating care of UC and Infusion patients at the Winslow Indian Health Care Center (WIHCC). Responsible for the delivery of appropriate, timely, and beneficial care for patients by promoting quality cost-effective health care outcomes in a seamless continuum of care. Working with the established standards of clinical care coordination, case management principles, and advance access principles. The coordinator demonstrates excellent clinical and critical thinking skills on clinical and operational issues. This is a clinical position and patient assignments will be taken when necessary. Upholds the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Exemplifies professional nursing practice through expert clinical practice, strong leadership skills, and management activities.
• Provides clinical management to the UC department and Infusion through coordination of patient care activities, procedures and flow of patients between various units.
• Functions as the coordinating resource for the nursing staff in the UC.
• Works directly with the UC staff to identify the care needs for patients throughout the continuum of care.
• Acts as liaison between UC staff, patients, and other departments to develop and ensure a smooth process for the safe and effective care of patients in the UC and Infusion.
• Acts as a resource to nursing staff in problem solving and resolution of patient care issues.
• Collaborates with admitting, both in house and with outside facilities, to facilitate the plan for timely placement of admissions and transfers.
• Conducts post UC and Infusion discharge calls on identified high risk patients and promotes transitional care management, assisting in primary care provider (PCP) follow-up when indicated.
• Collaborates proactively with all interdisciplinary team members to facilitate and maximize patient health care outcomes.
• Develops and maintains competence to provide direct care to the UC patient population.
• Develops and maintains internal patient care database for continuous tracking and follow up for continuity of care for active management of UC and Infusion patients.
• Coordinates multi-disciplinary patient care conferences for high risk or complex patients as needed.
• Advocates for the patient/family at the service-delivery level and at the policy-making level fostering the patients/family’s decision making, independence, and growth and development.
• Maintains compliance with applicable laws, such as patient confidentiality, abuse reporting, principles of consent and advanced medical directives.
• Utilizes campus software packages and applications for ordering, scheduling, and tracking patient care.
• Utilizes best practice models to identify, incorporate or develop best practices for patient management.
• Participates in department, WIHCC teams and committees.
• Participates in the continued development of the role of case management and care coordination in the primary care – advanced access model.
• Integrates factors related to quality, safety, efficiency, and cost effectiveness in planning, delivering, monitoring, and evaluating customer care by promoting the most effective and efficient us of human and financial resources.
• Maintains regular attendance and punctuality.
• Requires completion of tasks or duties assigned by a supervisor.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.