The ED Care Coordinator (RN) is located within the hospital emergency department. The ED Care Coordinator is directly involved in a collaborative process with the ED and PMC providers of assessment, planning, facilitation, and advocacy to meet a patient’s health needs as they transition care from an emergency room setting. This will be accomplished through identification of and communication about available resources to promote quality of care, patient satisfaction and cost-effective outcomes.

Essential Functions and Responsibilities

• Act as a change agent for innovative approaches to healthcare; consistent with active participation in PMC initiatives to advocate for patient needs and follow-up.
• Act as a steward for good customer relationships throughout the partnering hospitals.
• Assist patients through the healthcare system by acting as a patient advocate and navigator.
• Proactively address gaps in patient care as identified through direct provider referral, practice liaison, hospital discharge planners, hospital emergency room team and other multi-disciplinary teams, patient’s electronic health records, as well as other modalities to ensure patients receive the highest quality of care and follow-up in the most appropriate care setting.
• Perform chart reviews and collaborate with emergency department team to provide greater insight on patient’s overall health and recent diagnostic data relevant to the chief complaint.
• Collaborate with the emergency department physicians and PMC care team in effort to formulate alternative dispositions for patients through the facilitation of outpatient testing and follow-up.
• Complete appropriate assessments for assigned patients; identify gaps in care, develop goals to address gaps, facilitate interventions and resources to close gaps, and create a sustainable patient-centered action plan.
• Engage in community resources that are timely and cost-effective in order to obtain optimal value for the patient while supporting their psychosocial, financial and functional needs.
• Actively work to increase a patient’s adherence to treatment plans through direct involvement or coordination of care and referrals to appropriate care management teams.
• Foster an environment allowing for direct communication between all partners, internal and external, on the patient’s care team to optimize outcomes.
• Communicate often and consistently with outpatient care team utilizing various communication modalities, including direct phone calls, secure messaging, and outpatient EHR, etc.
• Facilitate provider contact and care team appointments as needed to coordinate patient’s care needs across the continuum of care.
• Other duties as assigned

Qualifications

Education (Including Licenses and Certifications):

• Registered Nurse in the State of North Carolina.

Experience: One to two year experience in a medical office setting is preferred.