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RN Care Coordinator

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IntelyCare

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Location:
United States , Cincinnati

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Category:

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

The Ambulatory RN - Care Coordinator is a vital member of the healthcare team responsible for ensuring seamless and high-quality care for patients in an ambulatory setting. This role involves both direct patient care and administrative responsibilities, with approximately 60% of time dedicated to patient-facing duties. The RN will support ambulatory physician clinics by seeing patients with complex and chronic disease that require additional support during outpatient visits. They will be involved in working with patients to develop and execute care plans, provide patient education, and work collaboratively with interdisciplinary healthcare team members to optimize patient care and experience.

Job Responsibility:

  • Ensuring seamless and high-quality care for patients in an ambulatory setting
  • Supporting ambulatory physician clinics by seeing patients with complex and chronic disease
  • Working with patients to develop and execute care plans
  • Providing patient education
  • Working collaboratively with interdisciplinary healthcare team members to optimize patient care and experience
  • Engaging in population appropriate communication
  • Giving clear instructions to patients/family regarding treatment
  • Involving family/guardian in the assessment, initial treatment and continuing care of the patient
  • Identifying any physical limitations of the patient and deploying intervention when necessary
  • Recognizing and responding appropriately to patients/families with behavioral health problems
  • Interpreting population related data and planning care appropriately
  • Identifying and responding appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms
  • Performing treatments, administering medication or operating equipment safely
  • Recognizing and responding to signs/symptoms of abuse or neglect
  • Acting as an expert clinician and role model in providing quality patient care
  • Utilizing the nursing process for direct patient care and assisting the staff with assessment, planning, implementation, and evaluation of patient care needs
  • Conducting thorough assessments of patients’ health status during clinic visits
  • Documenting nursing history and assessment for assigned patients, initiating referrals based on patient needs
  • Collecting basic level and advanced patient data
  • Maintaining awareness of comfort and safety needs of patients during their ambulatory appointment
  • Responding to life-saving techniques based on nursing standards, policies, procedures, and protocol
  • Providing accurate hand-off report when patients are moved between ambulatory areas and/or between ambulatory and inpatient areas
  • Recognizing and reporting changes in patient conditions and abnormal labs or results
  • Performing POC testing assessments as needed
  • Initiating and implementing individualized patient care plans in collaboration with other healthcare providers
  • Collaboratively developing and utilizing patient care pathways that ensure consistent quality of care for patients
  • Demonstrating competency in administering medications, perform wound care, and provide other direct nursing interventions as needed
  • Completing nurse visits and documents timely and accurately
  • Assisting with minor procedures and diagnostic tests
  • Monitoring patients for changes in condition, report findings to the healthcare team, and adjust care plans accordingly
  • Recruiting patients for studies
  • Assisting and collaborating with staff nurses in quality assurance
  • Meeting new patients to introduce self and explain role
  • Demonstrating ability to establish priorities of care based on individual patient assessments and the needs of the patients assigned
  • Demonstrating critical thinking and accountability in evaluating and implementing physician orders
  • Ensuring timely nursing documented with exceptional accuracy according to hospital policy and procedures
  • Maintaining positive, professional, and cooperative demeanor throughout all interactions
  • Maintaining a calm demeanor during emergent or challenging behavioral situations with patients
  • Meeting with patients and families to identify educational needs
  • Educating patients and their families about health conditions, treatment plans, medications, and self-care techniques
  • Reassessing for understanding and re-educating as needed
  • Applying current nursing literature in teaching techniques and guiding standards of care in patient and family education
  • Serving as a expert patient educator for disease-based and clinic-based care teams
  • Documenting patient/family/designee teaching and response appropriately
  • Facilitating seamless transitions of care by coordinating referrals, scheduling follow-up appointments, and ensuring timely access to services throughout continuity of care
  • Communicating effectively with patients regarding test results, treatment plans, and follow-up care
  • Addressing patient concerns and providing support and guidance throughout their treatment journey
  • Anticipating changing needs of patients and families based on care plan and acting proactively to reduce delays in care, reduce financial toxicity, and increasing patient satisfaction
  • Participating in interdisciplinary team meetings to discuss patient care
  • Collaborating with social workers, dietitians, and other healthcare professionals to address the comprehensive needs of patients
  • Serving as liaison to other departments and organizer for interdepartmental projects
  • Participating in transitions of care planning
  • Documenting plan of care reflective of collaborative practice with other health care team members
  • Supporting prior authorization for medication and diagnostic tests
  • Serving on nursing and hospital-wide and unit-based committees that influence the delivery of patient care
  • Assisting with developing and revising policies and procedures for nursing practice
  • Assisting with implementing evidence-based practice in the unit
  • Working collaboratively on performance improvement system wide
  • Demonstrating the nurse’s role as a member of the healthcare team and promotes accountability, responsibility, and commitment regarding patient care standards
  • Serving as a resource within his/her own specialty for all members of the healthcare team
  • Orientation and other education programs as assigned
  • Serving as a preceptor and/or mentor for nursing students, clinical interns, and other healthcare professionals as needed and identifies opportunities for observation or clinical experiences
  • Remaining current in research to area of clinical nursing practices
  • Participating and contributing to staff meetings
  • Maintaining confidentiality of information
  • Sustaining an understanding of regulatory requirements and accreditation standards
  • Monitoring safety and departmental policies and procedures
  • Working with department managers, nurses and nursing leadership and multidisciplinary representatives to identify and share safety best practices
  • Demonstrating an understanding of legal and regulatory issues (HIPPA, EMTALA, regulatory agencies, UC, legal P&P) impacting the care delivery and reimbursement process
  • Utilizing MIDAS effectively to report safety concerns
  • Able to escalate appropriately

Requirements:

  • Associate's Degree - Nursing
  • Current Registered Nurse (RN) license in the state of Ohio
  • Minimum of 2 years of nursing experience in an ambulatory or outpatient setting

Nice to have:

  • Bachelor's Degree - Nursing
  • Basic Life Support (BLS) certification

Additional Information:

Job Posted:
March 01, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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