RN Coordinator, Ambulatory Serivces

Company Description

• Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care.  Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing.  Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work! 

• The Program of Assertive Community Treatment (PACT) team is a program intended to meet the mental health and case management needs of adults, ages 18 and older. The team serves adults in the community who are unable to use traditional outpatient mental health services due to the seriousness and complexity of their problems.

  The team members include: psychiatrists, psychiatric nurses, social workers, substance abuse specialists, counselors, job coaches, and a consumer advocate. Services include:

• Mental health assessment and treatment
• Psychiatric rehabilitation
• Advocacy and outreach
• Continuous care treatment
• 24-hour, on-call coverage
• Medication evaluation, prescription, and monitoring
• Assistance with entitlements
• Representative payee service
• Nursing services
• Dual diagnosis treatment
• Assistance in securing housing

Job Description

General Summary

This role is considered the minimum role for all nurses at UMMC who have greater than 12 months experience. This nurse will be competent in the skills/knowledge required and fully participate in nursing governance. He/she will practice and adhere to the guidelines specified in the UMMC Professional Nurse Job Charter. Under general supervision and with attending physician input, the incumbent is responsible for coordinating, managing and communicating the plan of treatment to patients and their families. Specifically, the incumbent assists in communications with patients; triages patients and patient issues, performs symptom management, and teaches patients regarding their disease process and treatment. In addition, the nurse coordinator collaborates with the multi-disciplinary team and utilizes clinical outcomes data to support innovative and cost-effective changes to clinical practice. Is accountable to patients and families for the processes and outcomes of care during an episode of care. Is accountable to peers for the advancement of group practice on the practice setting, and to the nurse manager for the totality of work performance. This nurse will be competent in the skills/knowledge required and fully participate in practice setting governance. He/she will practice and adhere to the guidelines specified in the UMMC Professional Nurse Job Charter. These functions are performed in accordance with all applicable laws and regulations and UMMS philosophy, policies, procedures and standards.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Clinical Practice/Care Delivery

• Provides community-based assertive community treatment (ACT) services, including home and field visits.  
• Competent in care of practice setting specific patient population; independently practices with solid knowledge and clinical skills; engaged in advancing own practice
• Collaborates with interdisciplinary team to plan and coordinate care addressing patient/family needs
• Provides direct and indirect care in area of specialization to patients and families, and objectively and systematically evaluates the quality and appropriateness of care delivery.
• Serves a clinical resource to others
• Serves as an effective Primary Coordinating Nurse; collaborates and coordinates with physicians and all disciplines involved in the patient’s care to assure timely progress toward the best clinical outcome in the most cost-effective manner.
• Provides symptom management strategies to a defined patient population in collaboration with physician.
• Utilizes and integrates evidence into practice
• Triages patient telephone
• Provides extensive patient education regarding disease process, treatment plan, and symptom management. Expertise in specialty area enables nurse coordinator to triage and assess patients in order to provide optimum level of care. Assists patients and families through disease process and along cancer diagnosis continuum.
• Ensures development and implementation of effective discharge plans and concurrently and retrospectively reviews patients for medical appropriateness and risk management