Ambulatory Clinic Nurse Care Coordinator (RN) - Occupational & Workers Comp

Position Title

Ambulatory Clinic Nurse Care Coordinator (RN) - Occupational & Workers Comp

Days - Full Time

Olathe Medical Pavilion A

Position Summary / Career Interest:

We are seeking a Workers Compensation Clinical Nurse Coordinator. The Clinical Nurse Coordinator (CNC) is responsible for coordinating and managing workers' compensation cases from initial intake through authorization and clearance for scheduling. The CNC serves as a key liaison between patients, employers, providers, insurance carriers/TPAs, adjusters, nurse case managers, and internal departments to ensure accurate and timely processing of each case. The CNC obtains and verifies claim, patient, employer, and carrier information; coordinates authorization and required clinical documentation; verifies services are related to the workers' compensation claim; ensures accurate information is entered into Epic; and works with the appropriate teams to resolve claim, authorization, or billing issues. The CNC ensures cases meet established Work Comp requirements and are financially and administratively cleared before release to scheduling, while providing ongoing coordination and follow-up throughout the patient's care.

Responsibilities and Essential Job Functions

• Responsible for management of patient flow, triage, and direct patient care.
• Liaison of communication between front desk staff, nursing staff, physicians, and clinic manager
• Manage the care of the patient population by developing expected patient outcomes, defining appropriate resource utilization, and working with the provider to set patient goals.
• Provide nursing support/coordination to the practice to optimize patient outcomes and to improve patient's quality of life through clinical and educational programs and/or support services.
• Support patient self-management of disease.
• Coordinate continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
• Manage high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including a registry.
• Develop relationships with patients and competently uses assessment skills to identify physical, psychosocial, financial, and environmental health care needs of the patient.
• Educate the patient and appropriate ancillary personnel about the health care needs, safety issues and benefits which include patient education.
• Utilize available electronic tools, such as EMR, to efficiently document assessments, clinical finds, plans of treatment and progress toward goals.
• Observes, records and reports patient''s condition and reaction to drugs and treatments to physicians. Educates patient/family about diagnostic procedures, medications, nutrition and maintenance of health and wellness.
• Maintains/reviews patient records, charts and other pertinent information. Records tests and examination results and then follows up with patient. Posts tests and examination results.
• Responds to/refers incoming patient treatment-related phone calls. Instructs patient and family regarding medications and treatment instructions.
• Maintains patient confidentiality.
• In providing patient care, document using EMR to maintain and/or develop patient records in compliance with practice standards
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate
• Bachelor Degree Nursing
• 2 or more years of RN experience.

Preferred Education and Experience

• Previous medical office experience.

Required Licensure and Certification

• Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Must have current active multistate state Registered Nurse (RN) license in good standing in state in which you live. Staff hired prior to 2/1/2024 are required to obtain a multistate state RN license from the state in which they live at the time of their next RN license renewal by 4/30/2026.
• Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA) within 14 days

Knowledge Requirements

• Basic typing and word processing ability.
• Excellent analytical, critical thinking and problem-solving skills.

Time Type:

Full time

Job Requisition ID:

R-56711

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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