Care Coordination Clinical Coordinator

The Care Coordination Service is seeking a Nurse Practitioner to function as a Clinical Coordinator in the Post-Discharge Follow Up service functioning under the 1115 Medicaid Waiver. Responsibilities include:

• Assisting with facilitating bedside touchpoints for patients slated for discharge
• Directing the Post-Discharge Coordinator and Scheduling Coordinator to efficiently maintain workflow and contact with patients prior during and after clinic visit (if required)
• Conducting a mixture of virtual and in-person visits to capture patients that are post-discharge from WHMCboth inpatient and from the Emergency Room
• Performing relevant physical exams and evaluating patients documenting pertinent positive and negative findings.

• Diagnosing and treating disease and providing education regarding discharge instructions medical management and follow-up appointments
• Evaluating patients to determine the necessity of sooner follow-up if needed
• Prescribing medication in accordance with New York State and federal law.
• Ordering appropriate laboratory radiological and special examinations or tests; interpreting results.
• Providing preventative health services including health education and counseling with the goal of preventing 30-day readmission
• Collaborating with other clinicians and staff members to ensure continuity of care of patients; developing metrics and tracking outcomes pertinent to patient experience
• Assisting with facilitating the Primary Care Nurse Practitioner Fellowship Program (teaching curriculum development and accreditation).

:

• Master of Science degree in NursingAdult-Gerontology Primary Care Nurse Practitioner (preferred) or Family Nurse Practitioner Doctor of Nursing Practice preferred
• Completion of Primary Care Nurse Practitioner Fellowship Program
• Graduate of a Nurse Practitioner education program registered by the New York State Education Department

• Certification as an Adult-Gerontology Primary Nurse Practitioner or Family Nurse Practitioner from a New York State approved accrediting body American Nurses Credentialing Center (ANCC) American Association of Nurse Practitioners (AANP).

• Must possess current unrestricted New York State Registered Nurse license and Nurse Practitioner license
• Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration
• Must possess active Medicare/Medicaid Enrollment or be eligible to enroll
• BLS or ACLS certification required
• Bilingual Spanish (preferred)

Required Experience:

IC