Ambulatory Care Coordinator, Registered Nurse

Company Description

Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents.

Job Description

POSITION SUMMARY

To assess and identify patient needs to ensure that safety and high quality care is provided through nursing interventions, education, patient advocacy and coordination of services within an outpatient care setting.

Principal Duties:

Population Health

1.   Facilitates patient care services by managing and individualizing care for patients and their families.

2.   Identifies patients overdue for visits, labs, or referrals and arranging for follow up services as appropriate.

3.   Identifies patients not meeting clinical goals, (for example: BP control or glucose control, anticoagulant therapy) and arranging for follow-up services by protocol or as appropriate.

4.   Creating patient, physician, and clinic level quality performance reports.

5.   Conducts pre-visit chart review of patients including

a.   Identification of all needed preventive health maintenance, immunizations, and chronic disease interventions.

b.   Per protocol, initiate interventions before the patient sees a provider.

c.   Completes pre-visit forms or initiates office visits forms to communicate the review to the provider.

6.   Works with patients and families on Self-Management Support including:

a.   Setting short and long-term goals for self-management of chronic disease. b.   Addressing medication adherence in patients not meeting outcome goals.

c.   Works with patient to create an individualized plan for Health Behavior Change if deemed necessary.

i.   Assessing and working on the patient’ readiness to change, the importance of change, and

confidence in ability to change.

ii.    Helping the patient to identify and overcome barriers.

d.   Makes a plan for follow-up between visits

e.   Provides or arranges needed patient education regarding specific health care skills and general disease concepts.

f.   Provides health care advice through telephone calls or the Internet, if applicable.

Coordination of Care

1.   Assists as liaison with patients and their families to physicians, clinical staff, and other departments.

2.    Acting as a liaison with hospitalized patients and the clinic. Following up with assigned established clinic/office panel patients by phone shortly after hospital discharge or emergency room visit.

3.   Proactively acts as patient advocate, responding to and working to resolve patient concerns.

4.   Providing a link to community resources collaborately with social worker/case manager

5.   Involvement in Performance Improvement activities:

a) Communicates and coordinates with the healthcare team (including management, social worker and providers) in the development of tools for optimal patient outcomes and report findings.

1.   Ensures the smooth and timely flow of patients within the clinical area responding to high volumes of patients in short-term time spans.

2.   Demonstrate, understand and perform triage activities for all walk-in patients and medical phone inquiries; using reasonable and astute clinical judgments in order to expedite the appropriate care and treatment of patients.

3.   Provides working oversight and delegates tasks to licensed practical nurses, and non-licensed medical staff.

4.   Support and ensure accuracy of LPN/Medical assistant who obtain initial information from patients (i.e.: vital signs, symptoms, and complaints) through interviewing patients and reviewing documentation.

5.   Provide nursing care based on physician and mid-level provider orders, to meet the needs (physical, mental, and emotional) of patients.

6.   Documents patient’s response in medical record and ensures appropriate patient consents and authorizations are obtained all medical treatment

7.   Maintain universal precautions and infection control practices.

8.   Prepare patients for examination and assist physician upon request.

9.   Be able to assess patient condition, recognize adverse signs and symptoms, and react swiftly in emergency situations.

10. Administer medications per facility protocols, as prescribed by provider

11. Perform a range of nursing procedures, including dressing changes, suture removal, oxygen administration, wound irrigations and catheterizations.

12. Assist the providers as required in ensuring all patient information on electronic encounter documentation is complete and accurate.

13. Teach patients and/or families proper home health care activities, such as giving injections, taking blood pressures, changing would dressings, etc.

14. Possess knowledge of pharmacological agents used in patient treatment, including desired effects, side effects, complications, and patient usage considerations.

15. Possess knowledge of the basic concepts of customer service techniques related to age-specific population.

16. Comply with all Federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), regulations, directives and standards.

17. Maintain confidentiality of all information and support patients’ privacy, rights, and safety.

18. Schedules patients’ appointments, tests, and procedures via on-line computer system or telephone, and reinforces physician instructions in person and through telephone contact

19. Provide coverage for other clinical areas (as required).

20. Perform other work-related duties as assigned.

Customer Service:

1.   Greets customers in courteous, friendly, respectful and professional manner at all times, including maintaining eye contact when appropriate.

2.   Follows communication protocols to both internal and external customers, including introducing him/herself with job title and experience, asking open ended questions, such as “How may I be of help to you?” using the customer’s name as soon as it is learned.

3.   Responds promptly and appropriately to customer questions/concerns/complaints and attempts immediate resolution.

4.   Keeps customer’s information confidential, including public places such as elevators or the cafeteria.

5.   Provides assistance and offers help immediately, including finding someone else to meet the request, if unable to do so him/herself. Introduce other staff to customers when a hand-off occurs and explain that the person will provide excellent service.

6.   Demonstrates commitment to excellent service recovery when a customer’s expectations have not been met.

Commitment to Co-Workers:

1.   Offers assistance to colleagues and other departments when needed.

2.   Takes responsibility for solving problems regardless of origin; completes assignments, and respects deadlines.

3.   Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved. Refrains from criticism in public.

4.   Mindful and respectful of others’ time and schedules. Attends meetings on time and communicates any absences.

5.   Provides co-workers with a status report for continuity of workflow when planning to be out of the office, off the unit, or away from the department

Communication Etiquette:

1.   Respectful, courteous and professional in all forms of communication and follows facility’s service communication protocol in all interactions.

2.   Refrains from use of personal cell phone in patient care areas and keeps usage to a minimum at all other times while on duty.

3.   Does not text or use e-mail during meetings (except for exigent or emergency situations).

4.   Limits use of business cell phone during meetings (remain on vibrate and/or calls go to voicemail).

5.   Makes every effort to answer telephone calls within three rings, introducing him/herself, department and title (if appropriate).  Asks permission before placing the caller on hold or using the speakerphone.  If caller is transferred, gives the caller the extension number of the person he or she is being transferred to.  Offers further assistance to the caller upon completing the conversation.

6.   Maintains an appropriate voicemail message and when away from the office has an out-of-office email message that is brief, current, and includes name and department and offers the caller options if possible.

7.   Returns email and voicemail messages promptly but no later than within one business day (24 hours).

8.   Always mindful of voice and language in public.

Self Management:

1.   Reports to work appropriately groomed and in compliance with the Hospital’s dress code.  Wears identification badge at all times at chest level and facing outwards so identification is clearly visible.

2.   Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes.

3.   Completes mandatory, annual education and competency requirements.

4.   Follows UMCAP safety, infection control and employee health standards.

5.   Demonstrates responsibility for personal growth, development and professional knowledge and competency.

6.   Adhere to all UMCAP and department policies and procedures, including Code of Conduct and professional behavior standards.  Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences.  Provides notification of absences, lateness and vacation requests according to department guidelines.  Respects length of time for lunch and break times.

7.   Reviews, signs, and adheres to UMCAP and/or departmental confidentiality statement.

Qualifications

POSITION REQUIREMENTS:

Licensure/Certification/Registration

Required:   Current Maryland license in good standing as a Registered Nurse.

Life Support Certification:  

Basic Life Support – Health Care Provider (BLS-HCP)          

Education/Knowledge 

Attained Level: Professional

Completed Course Work/Program:  Bachelor’s Degree in Nursing

Applicable Experience

Experience (years):          Required:  3 - 5 years                     Preferred:  3 - 5 years

Experience (describe required & preferred):  At least 3 years of nursing experience within specialty area  and 1 year ambulatory care experience preferred.

Technical/Clinical Skills

Microsoft Office Suite Skill Level 

Word: Intermediate                                     

Excel: Intermediate

PowerPoint:  Basic    

Basic knowledge and working experience with Medical Terminology

Standard Office Equipment (list):   Fax, xerox, scanners, printers, telephones

Medical Equipment (list):   BP Machine, Stetescope, Blood glucose, scales

Communication Skills & Abilities 

Select highest applicable level:  Effective Oral/Written Skills and Provide Empathy

Bilingual:       Preferred            Language:  Spanish

Problem Solving/Analytical Skills & Abilities:

Professional/Supervisory

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range: $38.29-$57.73

Other Compensation (if applicable):

Review the 2025-2026 UMMS Benefits Guide

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