Description

UPMC Middletown Family Practice and Chambers Hill are looking to add an OP Nurse Coordinator that will work from both offices. This position will support the Outpatient UPMC primary care providers, working a regular full-time daylight schedule Monday through Friday. This RN Coordinator will work 3-4 days a week at Middletown Family and 1-2 days a week at Chambers Hill. You also will be asked to complete home visits for your patients as well. This nurse coordinator is a member of the care delivery team who works to establish trusting patient relationships to improve the quality of care, quality of life, and improve patient outcomes for patients with complex medical needs. nYou will use independent judgment and continued communication with the patient, family, physician, and community resources to assist the patient in attaining a measure of outpatient health. You will receive gas mileage reimbursement for home visits. 

Hours: Monday-Friday 8am-4:30pm, NO LATE EVENINGS, NO WEEKENDS, NO HOLIDAYS. FLEXIBILITY AND AUTONOMY IN SECHEDULING HOME VISITS.


Responsibilities:

• Care coordination for primary care complex patients

• Autonomous scheduling and case load management

• Develops a plan of care for the highest risk patients

• Performs patient outreaches in person via a home visit or office visit, or by telephone or video visit. 

• Patients with complex needs will be routinely identified through case review, referral from physician practices, and referral from inpatient case management, predictive analytics, and other reliable data sources. 

• This individual plays a pivotal role in the Patient Centered Medical Home (PCMH) by collaborating with the primary care physicians and an interdisciplinary team to develop a plan of care for the highest risk patients. 

• The Professional Care Manager establishes an interdisciplinary approach in working with patients, families, and the care team (e.g. social work, inpatient and specialist care coordinators, pharmacist, etc.) to utilize evidence-based resources to establish appropriate interventions and goals of care. 

• The goals of care management are to maintain clinical stability, promote appropriate utilization of services, enhance patients' ability to better manage their health and disease, and improve the patient's health status, clinical outcomes, and satisfaction.

• Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care.
• Actively participates in practice-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment.
• Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership.
• Demonstrates leadership capabilities with new nursing staff, patient information coordinators, medical assistants and office assistant staff in the daily management of the patient process.

Qualifications

• Minimum 3 years nursing experience
• BSN preferred.
• Previous case management or home health experience preferred

Licensure, Certifications, and Clearances:
Current licensure as a Registered Professional Nurse in practicing state.

CPR Certification, UPMC approved national certification preferred.

CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire

Clearances must be dated within 90 days
 

• Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
• Driver's License
• Registered Nurse (RN)
• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

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