RN Care Coordinator, Float Pool, Full Time, First Shift

UC Health (Cincinnati); Cincinnati (OH); On-site; USD 75,000 - 95,000; Full time

Job summary

UC Health in Cincinnati is seeking an RN Care Coordinator to lead the Ambulatory Hypertension Management Program and work with primary care providers, specialists, pharmacists and population health teams to improve blood pressure control and reduce cardiovascular risk.

The role involves proactively educating and monitoring patients with uncontrolled hypertension, coordinating care, and applying evidence-based interventions to achieve value-based care targets.

Responsibilities

• Acts as the primary clinical coordinator for the Ambulatory Hypertension Management Program, partnering with primary care providers, specialists, pharmacists and population health teams.
• Proactively manages patients with uncontrolled hypertension through education, monitoring, outreach, and care coordination.
• Documents nursing history and assessment, initiates referrals based on patient needs.
• Performs nursing interventions and supports patient safety and comfort during ambulatory visits.
• Collaborates with healthcare providers to develop individualized care plans and patient care pathways.
• Recruits patients for studies and assists with quality assurance initiatives.

Job description

The RN Care Coordinator serves as the primary clinical coordinator for the Ambulatory Hypertension Management Program, partnering with primary care providers, specialists, pharmacists, and population health teams to improve blood pressure control, reduce cardiovascular risk, and achieve value-based care performance targets. The RN proactively manages patients with uncontrolled hypertension through education, monitoring, outreach, care coordination, and evidence-based interventions.

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.

Responsibilities

PATIENT POPULATION - (CLINICAL ONLY):

• Engages in population appropriate communication.
• Has knowledge of growth and development milestones and tasks.
• Gives clear instructions to patients/family regarding treatment.
• Involves family/guardian in the assessment, initial treatment and continuing care of the patient.
• Identifies any physical limitations of the patient and deploys intervention when necessary.
• Recognizes and responds appropriately to patients/families with behavioral health problems.
• Interprets population related data and plans care appropriately.
• Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely.
• Recognizes and responds to signs/symptoms of abuse or neglect.

PATIENT ASSESSMENT & INTERVENTIONS:

• Acts as an expert clinician and role model in providing quality patient care to patients and their families within his/her specialty area.
• Utilizes the nursing process for direct patient care and assists the staff with assessment, planning, implementation, and evaluation of patient care needs.
• Conduct thorough assessments of patients' health status during clinic visits. Reassess and evaluate patient as needed throughout their visit.
• Document nursing history and assessment for assigned patients, initiating referrals based on patient needs.
• Collects basic level and advanced patient data. Monitors for trends that could impact patient health.
• Maintain awareness of comfort and safety needs of patients during their ambulatory appointment starting from the time they arrive to their departure. Assess patient environmental safety continuously.
• Respond to life-saving techniques based on nursing standards, policies, procedures, and protocol.
• Provide accurate hand-off report when patients are moved between ambulatory areas and/or between ambulatory and inpatient areas.
• Recognizes and reports changes in patient conditions and abnormal labs or results.
• Perform POC testing assessments as needed to support the patient's clinical well-being and also patient experience.
• Initiate and implement individualized patient care plans in collaboration with other healthcare providers based on clinical assessments, disease process, and patient's identified psychosocial needs.
• Collaboratively develops and utilizes patient care pathways that ensure consistent quality of care for patients.
• Demonstrates competency in administering medications, perform wound care, and provide other direct nursing interventions as needed.
• Completes nurse visits and documents timely and accurately.
• Assist with minor procedures and diagnostic tests, ensuring patient comfort and safety.
• Monitor patients for changes in condition, report findings to the healthcare team, and adjust care plans accordingly.
• Recruit patients for studies
• Assists and collaborates with staff nurses in quality assurance.
• Meet new patients to introduce self and explain role.
• Demonstrates ability to establish priorities of care based on individual patient assessments and the needs of the patients assigned.
• Demonstrates critical thinking and accountability in evaluating and implementing physician orders.
• Ensures timely nursing documented with exceptional accuracy according to hospital policy and procedures. Real time nursing documentation.
• Maintain positive, professional, and cooperative demeanor throughout all interactions with patients, staff, physicians, and members of management. Maintain a calm demeanor during emergent or challenging behavioral si