Clinical Nurse Care Coordinator (Chronic Disease)

Academic Medical Group Inc; Tampa (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

The Clinic RN Coordinator at USFTGP Internal Medicine in Tampa collaborates with the care team to coordinate complex patient care and ensure smooth transitions between ambulatory and hospital settings.

Responsibilities include patient intake and referral, chart reviews, frailty screening, care plan development, education, and coordination with social work and interdepartmental teams to support ongoing disease management and prevention of readmissions.

Qualifications

• Florida Department of Health Nursing License required.
• Three (3) years nursing experience in an acute care or ambulatory setting preferred.

Responsibilities

• Reviews patient medical history, physical conditions, diagnosis and orders to revise care plans.
• Manages patient intake, evaluation, referrals and pre-operative labs or imaging.
• Performs frailty screening and risk assessments for clinic visits.
• Develops and implements individualized care plans with interdisciplinary teams.
• Coordinates surveillance and ensures a comprehensive patient list for follow-up.
• Refers patients to ambulatory, hospital and community resources as needed.
• Documents services, assessments and education, in collaboration with physicians.

Education

Associate's degree in Nursing

Job description

The Clinic RN Coordinator at USFTGP Internal Medicine in Tampa collaborates with the care team to coordinate complex patient care and ensure smooth transitions between ambulatory and hospital settings.

Responsibilities include patient intake and referral, chart reviews, frailty screening, care plan development, education, and coordination with social work and interdepartmental teams to support ongoing disease management and prevention of readmissions.