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 WHMC—both 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 Nursing—Adult-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)