Responsible for triaging incoming patient referrals, assessing needs, giving appropriate clinical dispositions and facilitating referrals to WVU Medicine primary care and specialty care providers. This position will educate the patient when appropriate regarding immediate care advice and preventive behaviors. Accompanies patients to appointments and coordinates travel, accommodations, and itinerary.
MINIMUM QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Current unencumbered licensure with the WV Board of Registered Professional Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
EXPERIENCE:
1. Three (3) years of registered nursing experience.
PREFERRED QUALIFICATIONS
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelors of Science in Nursing Degree (BSN).
2. Obtain certification in Basic Life Support within 30 days of hire date.
EXPERIENCE:
1. Care coordination experience.
2. Outpatient/clinic experience.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Assess and facilitate coordination of multidisciplinary care across the care continuum. Provide communication, advocacy, and education in a culturally competent manner.
2. Clinically triages new patient referrals efficiently, to ensure timely access to care.
3. Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and/or end of life care.
4. May facilitate referrals within clinics by scheduling and coordinating clinic appointments, e-visits or telehealth visits with a provider.
5. Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address needs of patients.
6. Assess health literacy and educational needs of patient. Provide clinical education about diagnosis, treatment, side effects, and post- treatment care.
7. Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery.
8. Bridge gaps in care and assesses/troubleshoots care transitions and barriers to care.
9. Documents all conversations with patients to maintain a comprehensive medical record.
10. Provides communication with referring providers and primary care providers. Provides direction/guidance to Patient Navigators.
11. Participates in all service line team meetings.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.
2. Ability to sit for extended periods of time.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Multiple different clinic offices and ancillary testing departments.
SKILLS AND ABILITIES:
1. Ability to handle and maintain confidential information.
2. Ability to work in a fast paced and rapidly changing environment.
3. Excellent oral and written communication skills as well as strong organizational and motivational skills.
Additional Job Description:
Scheduled Weekly Hours:
36
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
415 POPH Population Health Management

The West Virginia University Health System, which operates under the brand WVU Medicine, is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Golisano Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.