Acute Care Transition Coordinator (RN)

Job Description

Job Description

Pinehurst Medical Clinic (PMC)

PMC is a recognized healthcare provider in the communities of Moore County, Lee County, Cumberland County, Chatham County, and the surrounding six counties. Locally owned and managed, PMC offers a broad range of primary and specialty care services to the communities we serve. The physicians and healthcare team of professionals at PMC share a commitment to patient-centered care that is physician-led and utilizes the latest advances in medical technology. This combination of leading-edge medicine and deep compassion for the people we serve has been a hallmark of PMC since 1952. PMC consists of over 130 providers, approximately 750 employees, and 16 locations.

What will you do as a PMC Acute Care Coordinator (RN)

The Acute Care Transition Coordinator is directly involved in a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet a patient’s health needs as they transition care from an inpatient and emergency room setting. This should be accomplished through communication and identification of available resources to promote quality, patient satisfaction and cost-effective outcomes. This position will be located within the hospital emergency department.

A day in the life of a PMC Acute Care Coordinator (RN) may include:

• Act as a change agent for innovative approaches to healthcare; consistent with active participation in PMC and Evergreen Senior Care initiatives to advocate for patient needs and follow-up.
• Act as a steward for good customer relationships throughout the partnering hospitals.
• Assist patients through the healthcare system by acting as a patient advocate and navigator.
• Proactively address gaps in patient care as identified through direct provider referral, practice liaison, hospital discharge planners, hospital emergency room team and other multi-disciplinary teams, patient’s electronic health records, as well as other modalities to ensure patients receive the highest quality of care and follow-up in the most appropriate care setting.
• Perform chart reviews and collaborate with emergency department team to provide greater insight on patient’s overall health and recent diagnostic data relevant to the chief complaint.
• Collaborate with the emergency department physicians and PMC care team in effort to formulate alternative dispositions for patients through the facilitation of outpatient testing and follow-up.
• Complete appropriate assessments for assigned patients; identify gaps in care, develop goals to address gaps, facilitate interventions and resources to close gaps, and create a sustainable patient-centered action plan.
• Engage in community resources that are timely and cost-effective in order to obtain optimal value for the patient while supporting their psychosocial, financial and functional needs.
• Actively work to increase a patient’s adherence to treatment plans through direct involvement or coordination of care and referrals to appropriate care management teams.
• Foster an environment allowing for direct communication between all partners, internal and external, on the patient’s care team to optimize outcomes.
• Communicate often and consistently with outpatient care team utilizing various communication modalities, including direct phone calls, secure messaging, and outpatient EHR, etc.
• Facilitate provider contact and care team appointments as needed to coordinate patient’s care needs across the continuum of care.
• Other duties as assigned.

What we can offer

PMC is proud to support the total health and well-being of our team members so they can thrive personally and professionally. That’s why, as part of the PMC team, you’ll have a package of benefits that covers your health, well-being, family, and future. For more information regarding our benefits click here Benefits Information

Required Qualifications

• Licensed as a Registered Nurse or a Practical Nurse in the State of North Carolina

Preferred Qualifications

• One to two year experience in a medical office setting is preferred.

Shift: Day Shift (Monday through Friday) no weekends or holidays

Pay Type: Hourly (Non-Exempt)

Day Shift (Monday through Friday)
40 Hours Per Week