RN - Care Coordinator (on-site)

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13620309 GENERAL DESCRIPTION This position is part of the clinical team. This position is responsible for performing overall nursing care within the electronic health record (EHR) and also provides a communication link between providers and patients on test results, medical questions and requests and continuity of care. Requirements ESSENTIAL DUTIES - Patient Care and Follow-up: Supports the provider and care team by managing all EHR tasks outside of medication refills and medication prior authorizations, this includes managing Telephone Encounters, Actions, Documents, and Lab/Diagnostic order follow-up and notifying patients of results. Follow up with patients on any outstanding orders for testing or specialty care to ensure these services are completed. Answer any questions the patient may have regarding the testing. Assists with non-medication prior authorizations such as DME and diagnostic imaging and testing. - Patient Coordination of Care: Supports the provider and care team by coordinating care for upcoming patient appointments or care between appointments. This includes reviewing provider schedule in advance of an appointment to optimize the patient visit. Reviewing health record for information surrounding immunization status, preventive services, and necessary lab testing for the visit and contacting the patient as needed to discuss. Reviewing health record for recent hospital stays and ensure hospital records have been received. Ensuring health record is up to date with any health information from external sources (i.e. hospitals, WebIZ, etc.). This position should develop a working understanding of the current UDS measure for patients served and assess, plan, implement and evaluate continuously the outcomes obtained. Participates in Care Team daily huddle to facilitate communication regarding patients being seen in the clinic. - Patient Triage: Answers triage phone calls and works with the care team Primary Nurse to schedule or work in patients who need to be seen by the provider. Serves as the primary contact for Mission Control. - The Nursing Care Coordinator whom focuses on CHC/SEKs Diabetes Program will assist primary care nursing team with medication refills, prior authorizations, DME, diabetic shoes, and other items needed to provide quality continuous care for patients. - Performs other duties as assigned. - The essential functions listed are not an exhaustive list of every task the employee is required to complete. Employees are expected to perform all other duties as assigned.