Clinical Coordinator II / NP

Clinical Coordinator II / NP

The Advanced Practice Provider Nurse Practitioner under the supervision of the Division Chief and Administrative Director will play a key role in the Department of Urology with a focus in a urologic subspecialty (Men's Health/BPH/Reconstruction, Endourology, Urologic Reconstruction and Pelvic Surgery, Urologic Oncology) as deemed appropriate by candidate's interest and experience and needs of the Department. Clinical focus will include diagnosing and treating common acute and chronic urologic conditions (e.g., UTIs, benign prostatic hyperplasia (BPH), overactive bladder, kidney stones, erectile dysfunction, and incontinence. This involves conducting patient histories and physical exams, performing office procedures, ordering diagnostic tests, managing clinical correspondence, and securing insurance authorizations. In collaboration with physicians, the Advanced Practice Provider will develop differential diagnoses and implement evidence-based treatment plans, emphasizing preventive medicine, shared decision making, and patient education.

Responsibilities

Clinical Practice:

• Communicate all clinical activities to supervising physicians.
• Perform comprehensive histories and physicals, documenting according to institutional standards.
• Assess patients using physical exams and diagnostic data, considering medical history and treatment progress.
• Write orders within the scope of state law (medications, excluding chemotherapy, non-pharmacologic therapy, diagnostic tests, etc.).
• Assist physicians in patient assessment, evaluation, and management
• Initiate approved protocols/plans.
• Monitor and assess patients during and after therapies.
• Participate in staff meetings and continuing education.
• Engage in quality improvement initiatives.
• Obtain insurance authorizations and conduct peer reviews as needed.
• Educate patients and families about disease states, treatment plans, side effects, medications, and follow-up care.
• Provide phone triage and follow-up as appropriate.
• Performs and/or assists in office-based procedures such as catheter changes, urodynamics, video urodynamics, percutaneous tibial nerve stimulation, pessary changes, and programing of sacral neuromodulation devices.
• Performs related duties & responsibilities as assigned/requested.

Epic In Basket and Communication Management:

• Responds to all Epic In Basket messages and tasks within 24-48 hours, ensuring timely communication and care coordination for both individual patient messages and those within the Urology division's shared pools.
• Proactively manages patient portal messages, telephone encounters, prescription refill requests, lab/imaging results, and inter-departmental communications received via Epic In Basket. Prioritizes urgent messages for immediate action and escalates critical concerns to the supervising physician as per established protocols.
• Utilizes Epic functionality to efficiently document patient interactions, provide clear instructions, and route messages to appropriate team members (e.g., MAs, schedulers, other specialists) to ensure seamless patient flow and continuity of care.
• Maintains a clean and organized Epic In Basket, regularly reviewing and clearing tasks to prevent backlogs and ensure all patient needs are addressed.

Documentation and Charge Capture Integrity:

• Closes all patient encounters and submits accurate, complete, and compliant charges within 24-48 business hours of the patient visit or service rendered.
• Ensures comprehensive and timely documentation in Epic, including but not limited to, patient history, physical exam findings, assessments, treatment plans, orders, and patient education, reflecting all services provided to support accurate billing and medical necessity.
• Applies appropriate CPT, ICD-10, and E&M codes to maximize legitimate reimbursement and maintain compliance with all billing regulations and payer guidelines.
• Actively participates in ongoing education and quality improvement initiatives related to Epic documentation, charge capture, and coding best practices to minimize revenue leakage and denials.

Team Leadership & Collaboration:

• Train new Nurses and Nurse Practitioners on departmental responsibilities.
• Participate in continuing education with nurses regarding new procedures and policies.
• Attend daily huddles with nurses to review clinic plans and address workflow issues.

Minimum Qualifications

• Master's degree in nursing or equivalent in education and experience, plus two years of experience.
• Must have current New York State Registered Professional Nurse and Nurse Practitioner licenses and New York State DEA.
• Must have NP Board Certification.
• Must be able to meet New York-Presbyterian Hospital credentialing requirements prior to starting.

Preferred Qualifications

• Urology or Surgery specific experience

Other Requirements

• Working knowledge of provider billing and documentation requirements is a must.
• Demonstrated ability to work well with physicians.
• Ability to work under pressure with multiple and competing deadlines required and have excellent communication skills, written and oral.
• Must be highly organized, with excellent communication and follow through skills.
• Must have a proven record of ability to work as part of a team, with administrative, clinical research, and financial staff.
• Experience utilizing Epic EMR

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.