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, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.
Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer
The Commonwealth Center for Children and Adolescents (CCCA) is seeking a dedicated and enthusiastic individual to join our team as a part-time Rehab Assistant.
Come Join our team of Registered Nurses that makes a difference!
Up to a $25,000 Bonus for Registered Nurses that are new to state service and remain with the facility for 2 years.
· $15,000 sign on bonus will be awarded to new hires to state ser...
$3,000 sign-on bonus for those new to State service!
Exceptional State Benefits Include:
· 13 paid holidays, 12+ paid vacation days, 8 paid sick days and 4+ paid family personal days per year; Family Medical Leave, Short- and Long-term disability...
WHY VADOC? WHY NOT?
Job stability, 13 paid state holidays in addition to generous vacation, sick, personal leave and military leave incentive. Public Student Loan Forgiveness Program, Affordable health benefits, VRS retirement benefits, VA 457 De...
What drives you? Whether it's knowing the work you do makes a difference, having a great work/life balance, working on exciting and challenging projects, leading innovation and championing change or simply working with a great group of people who ...
What drives you? Whether it's knowing the work you do makes a difference, having a great work/life balance, working on exciting and challenging projects, leading innovation, and championing change or simply working with a great group of people wh...
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