Registered Nurse (RN) Care Coordinator – Orthopedic Clinics (Ambulatory)

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. Medical Subspecialty and Women’s Health opportunities include:

- UVA Orthopedic Center Ivy Road
- UVA Pain Management Center at Fontaine Research Park  
- UVA Physical Medicine & Rehabilitation at Fontaine Research Park

By joining our team, you will play an instrumental role in shaping the future of orthopedic care at the University of Virginia's groundbreaking Orthopedic Center Ivy Road – one of the nation's largest and most innovative outpatient centers

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 goals.
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 aspirations.

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.