Ambulatory Nurse Care Coordinator Full Time Sign on Bonus Offered

The Ambulatory Nurse Care Coordinator reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.

The Ambulatory Nurse Care Coordinator is responsible for providing patient care support services and ensuring high quality of care through education and robust care management coordination services. The Ambulatory Nurse Care Coordinator functions as a liaison between the patient physician and clinical support staff and helps the patient understand their medical conditions and health responsibilities.

Responsibilities:

• Serves as a patient advocate in an ambulatory setting and assists in navigating across various care settings.
• Addresses the care coordination needs for high and moderate health risk patients as well as assistance with low-risk or new patients.
• Reviews patient records registries reports or other encounter or claims data to identify patients who may require care coordination.
• Assesses documents and addresses clinical psychosocial or financial barriers to effective patient care.
• Consults with multidisciplinary team as appropriate to develop implement and evaluate care for patients and families specific to the area of expertise.
• Provides effective triage care using in-depth clinical knowledge and skills in area of expertise.
• Provides educational support to patient and family members around medical processes procedures treatments medications and management of health and wellness.
• Ensures timely continuity of care by proactively outreaching to patients post discharge managing referrals facilitating transitions of care and coordinating community resources. Collaborates across the continuum with patients care team members. 
• Manages high risk patient cases in order to minimize readmission rates and help reduce the cost of care. Assists in facilitating care coordination for the patient across the care continuum ensuring that the patient is receiving the highest level of quality care in each setting.  
• Develops care plan that addresses patients overall health including health goals with a plan that is in line with patients choices and values. Informs patients regarding access to general preventative care practices. Support patient activation of care plan.   
• Reviews and maintains patient health information including medical records and other pertinent information that informs provider and care team members about patients health and progress of care outcomes.
• Monitors quality of care as well as patient and physician satisfaction through follow-up discussions and assessments. Participates in continuous quality performance and improvement initiatives to ensure the improvement of care coordination.
• Provide after regular business hours on-call support for urgent care coordination issues.    
• Performs other related duties as directed or required.

Qualifications :

Required:

• Current license as a Registered Nurse - State of Illinois Professional Nurse.
• Bachelor of Nursing Degree (BSN) with three to five years of relevant clinical experience or BSN required within two years of hire.
• 3 years of experience (5 years preferred) working with chronic conditions evidence-based medicine care coordination care management and psychosocial and behavioral factors affecting health outcomes. 
• Willingness to travel (some travel may be required).

Preferred:

• 3 years of experience in Care Management or Care Coordination
• Case Management certification preferred or willingness to complete upon meeting eligibility criteria.
• Experience with ambulatory operation and ambulatory nursing care.
• Experience with process improvement.

There is a sign-on bonus available for this position for external candidates and candidates who have not worked at NM within the last year. Internal candidates and rehires within the last year are ineligible. 

Additional Information :

Northwestern Medicine is an equal opportunity employer (disability VETS) and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and at times internal transfers. If you are offered a position with us you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.  Results are evaluated on a case-by-case basis and we follow all local state and federal laws including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position however all employment decisions will be made by a person. 

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical emotional and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family. 

Remote Work :

No

Employment Type :

Full-time