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Children's Hospital Colorado Clinical Nurse Care Coordinator-Special Care Clinic in Aurora, Colorado

Job ID70080LocationAurora, ColoradoFull/Part TimeFull-TimeRegular/TemporaryRegularWhy Work at Children's....Here, it's different. Come join us.Children's Hospital Colorado has defined and delivered pediatric healthcareexcellence for more than 100 years.Here, the nation's brightest nurses, physicians, scientists,researchers, therapists and care providers are creating the future of childhealth. With an optimist's outlook, a trailblazing spirit and a celebratedhistory, we're making new strides every day.We've been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the nation's top 10 pediatrichospitals by U.S. News & World Report.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,12 specialty care centers, 400+ outreach clinics and 7,000 healthcareprofessionals representing the full spectrum of pediatric care specialties.We need your expertise.A career at Children's Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it'sdifferent. Do you have what it takes?Additional InformationDepartment: Special Care ClinicHours per week: 36, eligible for benefitsShift: 36 hours a week, four 9 hour shifts. This is an in-clinic role withan opportunity to work some shifts remotely, after fully onboarding to theclinic. No weekends, nights, or holidays.Job OverviewThe Clinical Nurse Care Coordinator is responsible for facilitating andmanaging care coordination of designated populations of the most complexpediatric patients within an ambulatory environment. Leads internal andexternal care team partners in the delivery of high-quality, safe,personalized, and cost-effective, outcomes-based, family-centered care.ResponsibilitiesPOPULATION SPECIFIC CARENeonate - 30 days to 1yrToddlers - >1yr to 3yrsPre-Schoolers - >3yrs to 5yrsSchool age - >5yrs to 13yrsAdolescent - >13yrs to 18yrsAdult - >18yrs to 65yrsESSENTIAL FUNCTIONSAn employee in this position may be called upon to do any or all of thefollowing essential functions. These examples do not include all of thefunctions which the employee may be expected to perform.Collaborates with patients, families, and providers to establish aneffective plan of care based on mutually developed goals and in an environmentthat fosters shared decision making.Assesses patient's and family's unmet health and social needs in thehospital, at home, or in other community locations.Monitors patients' adherence to plan of care and progress toward goals.Facilitates and documents changes and/or interventions as needed.Provides education and coaching to patients and families to improve healthliteracy and work towards self-management of their health.Creates ongoing processes for patients/families to determine and request thelevel of care coordination support they desire over time.Facilitates patient access to appropriate medical and specialty providers aswell as other care coordination support, including, but not limited to,medication acquisition and management, procedures/tests, appointments,and referrals.Serve as a point of contact, advocate, navigator, and informationalresource for patient, family, care team, payers, and communityresources. Facilitates related meetings as needed.Provides mentoring/coaching to other population health and care coordinationteam members.Participates in practice transformation efforts that support ongoingcoordination of care for medically complex patients and families throughsharing knowledge, acting as role models, and providing technical assistance.Participates in the development and revision of policies and procedures, aswell as with quality improvement and research activities impacting care fordesignated patient populations.Utilizes information available within the organization in conjunction withtechnology to support communication, clinical decision making, errorprevention, and ov