RN Primary Care Coordinator

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RN Primary Care Coordinator
Geisinger
State College, Pennsylvania
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RN Primary Care Coordinator
Geisinger
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Details
Posted:
01-Mar-22
Location:
State College, Pennsylvania
Type:
Full Time
Salary:
Open
Categories:
General Nursing
Internal Number:
R-23801
Job Summary
Serves in an expanded nursing role as part of an interdisciplinary team to promote preventative patient care, offer screening services, and coordinate disease management services while also providing primary clinical support to the provider, patient and their family to assist in the diagnosis and treatment of the patient's condition. Assists clinic team with triage of in basket messaging as needed and management of patient interaction with the clinic identifying patient needs, intervention pathways, clinical guidelines and diagnostic tests to develop individualized plans of care.
Job Duties
The Primary Care Nurse Coordinator performs Medicare Annual Wellness Visits to support wellness planning and management of chronic disease.  Also provides education visits including diabetic education and other chronic disease education for populations identified through wellness visits, patient registries or by the clinic provider.
Actively outreaches to clinic patient's post-hospital discharge for Transitions of Care coordination. 
Assesses the healthcare, educational and psychosocial needs of the patient/family and involves them in establishing a treatment plan based on realistic goals and interventions.
Investigates healthcare options and facilitates communication among the patient, primary care provider and other members of the healthcare team to eliminate barriers and identify interventions for treatment.
Applies age-appropriate learning principles to educate patients, family and other health care members on the role and purpose of Care Coordination, its processes, disease/case management programs and outcomes
Serves as a resource to patients, families and other healthcare team members regarding disease management.
Implements clinical interventions based on risk stratification and evidence-based clinical guidelines.
Collaborates with primary care providers to enhance evidence-based clinical guideline adherence and promote best practice by initiating/adjusting therapies as directed by the practitioner and providing appropriate follow-up and monitoring as needed.
Coordinates laboratory and diagnostic tests for all disease management programs.
Collaborates with primary care providers to enhance evidence-based clinical guideline adherence and promote best practice by initiating/adjusting therapies as directed by the practitioner and providing appropriate follow-up and monitoring as needed. Facilitates/coordinates laboratory and diagnostic tests for all disease management programs.
Maintains required documentation in EPIC for all disease management activities. Collects and enters data and patient information according to department standards.
Attends and participates in professional and nursing continuing education programs and exploits professional development opportunities.
Reviews the current literature regarding effective teaching/learning strategies and disease management strategies and incorporates the appropriate techniques into disease management practice.
Maintains active involvement in post-discharge Transitions of Care coordination.
Assists leadership in the design, implementation and evaluation of care coordination programs to support overall CPSL goals and strategic business strategies.
Collects and prepares laboratory specimens (blood, urine, sputum, wound secretions) and completes associated paperwork (request slips, lab log, container labels, billing documents) to expedite laboratory studies with maximum accuracy and efficiency.
Inserts, monitors, regulates and discontinues IV's as required by provider and per scope of practice.
Administers medications and vaccines, including intradermal/skin testing, under the direction of a provider and per scope of practice.
Performs other duties as required or assigned.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Position Details
Work Schedule/Additional Details:
Monday through Friday from 8a to 4:30p
Limited travel for an occasional meeting
No weekends, holidays or on call
Must have 5 years of RN experience
About the department:
Our Primary Care RN Coordinators (PCNC) work with in our Community Practice sites across the Geisinger territory. In total, there are presently 39 sites where our PCNCs provide support. On a typical day our RN Coordinators will do adult wellness visits, transition of care calls, assist the provider(s) in answering appropriate messages, taking care of normal lab values, placing orders for follow ups, placing referrals and more. The RN Coordinator will assist the office procedures such as IV, wound care teaching, education to the LPN staff, education to patients, and more.
Our primary goal is to improve the health outcomes of our patients.
Education
Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)
Experience
Minimum of 5 years-Nursing (Required)
Certification(s) and License(s)
Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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