Registered Nurse Care Coordinator (RNCC) - Ambulatory Clinics

Are you enthusiastic about joining UVA's dynamic outpatient clinics and playing a crucial role in providing care to patients across the state? If so, we have a dedicated team ready to discuss opportunities! With a wide range of locations and flexible position types (including full-time, part-time, and PRN), we will help you find the perfect match for your nursing skills and aspirations.

Surgical Subspecialties

- UVA Surgical Care at the West Complex
- UVA Plastic Surgery at the West Complex
- Hyperbaric Medicine at the Medical Center
- ENT at Northridge Medical Park
- Zion Crossroads Multispecialty Clinics at Zion Crossroads
- Augusta Multispecialty Clinics in Fishersville

Medical Subspecialties and Women’s Health
- UVA Asthma, Allergy, and Immunology Clinic at Northridge Medical Park
- UVA Dermatology Clinic at the Primary Care Center
- UVA Diabetes and Endocrinology Clinic at Fontaine Research Park
- UVA Infectious Disease Clinic at the West Complex
- UVA Nephrology Clinics in Farmville, Lynchburg, and Kidney Center Clinic in the West Complex
- UVA Rheumatology Clinic at Fontaine Research Park and Pantops
- UVA Pulmonary Clinic at the Primary Care Center
- UVA General Gynecology at the Primary Care Center
- UVA Midlife Health and Gynecologic Specialties at Northridge Medical Park
- UVA General Obstetrics and Maternal and Fetal Medicine Clinic and at the Battle Building
- UVA Obstetrics and Gynecology at Northridge Medical Park

Dialysis Clinics
- UVA Kidney Center Outpatient Dialysis at the West Complex
- UVA Dialysis Amherst
- UVA Dialysis Altavista
- UVA Dialysis Appomattox
- UVA Dialysis Augusta
- UVA Dialysis Culpeper
- UVA Dialysis Farmville
- UVA Dialysis Lynchburg
- UVA Dialysis Orange
- UVA Dialysis Page
- UVA Dialysis Staunton
- UVA Dialysis Zion Crossroads

Primary Care and Behavioral Health
- UVA Family Medicine Primary Care at Primary Care Center
- UVA Family Medicine and Specialty Care Crozet
- UVA Family Medicine Stoney Creek in Nellysford
- UVA Primary Care and Specialty Care Clinic Pantops
- UVA Primary Care Crossroads at North Garden
- University Physician Group Charlottesville at Fontaine Research Park
- University Physician Group Orange
- UVA Geriatric Medicine at JABA and the Colonnades
- UVA Behavioral Medicine Center at the West Complex
- UVA Child and Adolescent Psychiatry Clinic at Old Ivy
- UVA Psychiatric Medicine at Northridge
- UVA Same-Day Clinic at 1222 Jefferson Park Avenue

Orthopedics and Pain Management
- UVA Orthopedic Center Ivy Road
- UVA Pain Management Center at Northridge Medical Park
- UVA Physical Medicine & Rehabilitation at UVA Orthopedic Center Ivy Road

Becoming a part of UVA’s Ambulatory nursing team opens the door to exciting new experiences as a Care Coordinator. Here are some of the remarkable benefits and opportunities that await you in outpatient care:
1. Expert Caring: As a Care Coordinator, you provide facilitative care that promotes health equity across the continuum and among interdisciplinary teams to improve population health, patient experience, and cost reduction.

2. Collaborative Team Learning: Through close interdisciplinary communication and collaboration, you will facilitate evidence-based practice care coordination and transition management, evaluating outcomes of treatment options and tracking patient progress toward care plans and goal.

3. Patient-Centered Care: Outpatient settings emphasize building strong patient relationships and delivering personalized care. As an RN Care Coordinator, you will identify unique patient support needs, develop action plans, and provide guidance to initiate patient-centered care planning.

4. Professional Development: Ambulatory care nursing practice encourages autonomy and self-driven growth. You will be empowered to take ownership of your professional development and pursue avenues that align with your career aspirations.

5. Innovative Practices: Outpatient clinics embrace the latest healthcare technology and practice advancements, exposing you to cutting-edge methods and tools.

To embark on this transformative journey with us, apply today! A member of our team will be in touch to guide you toward the perfect fit that aligns with your expertise, goals, and aspiration

The Registered Nurse Care Coordinator (RNCC) is responsible for (deliberate) organization of patient and family-centered care activities between two or more participants in which the RNCC uses advanced critical thinking to develop, implement, and evaluate individualized care plan to empower patients and optimize outcomes. The RNCC marshals and coordinates resources and patient care activities to support transition management, through collaboration across the continuum, supporting patient and families’ needs for individualized follow-up and coordination of services across healthcare services and locations.

This job profile integrates the ANA Nursing: Scope and Standards of Practice the ANA Code of Ethics for Nurses with Interpretive Statements the AAACN Scope & Standards of Practice for Professional Ambulatory Care Nursing and the AAACN Scope and Standards of Practice for Registered Nurses in Care Coordination and Transition Management, with the UVA Nursing Professional Practice Model.

Care coordination and transition management necessitates professional assessment, patient risk identification and stratification, and identification of individual patient needs and preferences that include but are not limited to the RNCC:

• Demonstrating the use of the UVA Professional Practice Model through nursing professional practice, quality achievement, lifelong learning, empowered leaders, innovation, and expert caring.
  
• Planning, coordinating, and prioritizing patient care activities considering patients' unique needs and desired outcomes in collaboration with the inter-professional team including consult recommendations and escalation as needed.
  
• Maintaining safety and continuity of care using methods such as documentation, hand-off tools/processes, etc.
  
• Collaborating and advising patients, families, and caregivers in their healthcare decisions, respecting their culture and values.
  
• Providing health education and coaching to patients tailored to issues identified within treatment and service plans through evidence-based care delivery and safety standards.
  
• Providing facilitative leadership that promotes health equity across the continuum and among interdisciplinary teams to improve population health, patient experience, and cost reduction.
  
• Demonstrating knowledge and ability to participate in and apply research and evidence-based practices for the improvement of patient care throughout the lifespan and across the continuum.
  
• Taking the lead in ensuring the continuity and consistency of care across the continuum to promote and facilitate pre-visit coordination, post-clinic follow-up, and handoff between services, along with monitoring and facilitating transitions of care.
  
• Educating patients & families with chronic illness about evidence-based standards of practice to empower patients to include self-management strategies.
  
• Identifying support needs and developing action plans and guidance to initiate patient-centered care planning and application of the nursing process.
  
• Contributing to problem-solving through communication and collaboration and evaluating outcomes of treatment options to include tracking patient progress toward care plans and goals.
  
• Supporting medication management
  
• Other duties as assigned.
  
• UVA Nursing Professional Practice Model
  
• Relationship Based Care - Self and Colleagues: reflects the influence of the nurse's relationship with self, colleagues, and patient/family on the patient's experience.
• Relationship Based Care - Patients and Families: reflects the influence of the nurse's relationship with self, colleagues, and patient/family on the patient's experience.
• Expert Caring: encompasses clinical assessment, planning, prioritizing, coordinating, and implementation of care.
• Empowered Leaders: demonstrate knowledge of and actively participate in shared governance
• Lifelong Learners: encompasses professional development through formal education, professional certification, and internal and external learning opportunities and recognizes the value of external professional organizations. Supports onboarding of new team members and precepts as applicable.
• Quality Achievement: includes adherence to clinical documentation guidelines, comprehension of outcomes data, engagement in performance improvement activities, and commitment to standard work.
• Innovation: is demonstrated by the application of technologies that support patient care, actively seeking to implement evidence-based practice and new knowledge generated by nursing research.
• 
  

Position Compensation Range: $85,820.80 - $113,401.60 Annual

MINIMUM REQUIREMENTS:

• Education: Bachelor of Science in Nursing from an accredited nursing program.
• Experience: Experience: 1 year of registered nursing experience required, 3 years of related and relevant registered nursing experience strongly preferred.
• Specialty Board Certification strongly preferred
• License/Certification: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Heart Association (AHA) Health Care Provider BLS certification is required.

PHYSICAL DEMANDS

Job requires standing for prolonged periods, frequently traveling, and bending/stooping. Proficient communicative, auditory, and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids, and infectious diseases.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.