Job Description

Overview

This position works as a member of a care team to coordinate patient care and support patients and families in self-management, self-efficacy, and behavior change. Care team members are expected to assess and manage the health needs of the patient population and to communicate effectively with all patients, especially vulnerable populations.

• Location: 1101 Camino La Costa, Austin, Texas, 78752
• Compensation: $32.00 - $41.00 per hour based on experience and qualifications

Responsibilities

Under the direction of the Nursing Manager, this individual’s primary responsibilities include:

Patient Care Coordination

• Review, prioritize, manage, and act upon Epic In-Basket messages, tasks, and patient communications.
• Coordinate patient care activities for high-risk and complex patient populations as part of the care management team.
• Perform patient assessments and nursing interventions within scope of practice.
• Conduct telephone and walk-in triage using approved evidence-based nursing protocols and national standards.
• Collaborate with providers and interdisciplinary team members to identify patient and family needs and develop individualized plans of care.
• Provide patient education and counseling regarding disease management, medications, preventive health, health promotion, and provider-directed treatment plans.
• Maintain full compliance with all applicable federal, state, local, and organizational regulations governing Class D Pharmacy operations.

Team Collaboration and Resource Management

• Collaborate effectively with providers, medical assistants, referral coordinators, pharmacists, social workers, behavioral health staff, and other healthcare team members.
• Appropriately delegate, coordinate, and refer services to extended care team members to maximize patient flow, operational efficiency, and provider productivity.

Quality Improvement and Clinical Operations

• Participate in quality improvement initiatives, performance improvement projects, regulatory readiness activities, and population health programs.
• Identify opportunities to improve workflows, patient care processes, operational efficiency, and patient outcomes.
• Attend required departmental, organizational, and interdisciplinary meetings.
• Support and adhere to organizational policies, procedures, and operational decisions.
• Maintain effective communication with clinical staff, operational departments, leadership, and external partners.
• Ensure compliance with HIPAA and all patient confidentiality requirements.

Qualifications

Education:

• Graduate of an accredited School of Nursing

Experience:

• Two to three years of related experience or training
• Ambulatory care, primary care, community health, or outpatient clinic experience is strongly preferred
• Experience with electronic medical records (EMR), preferably Epic, is helpful

Knowledge, Skills, and Abilities:

• Knowledge of patient assessment and evaluation.
• Knowledge of telephone and ambulatory care triage principles and protocols.
• Knowledge of methods for charting and maintaining accurate medical records.
• Understanding of basic concepts of patient education.
• Understanding the theory and practice of nursing and the managed care model.
• Ability to apply standards of professionalism in interactions with patients, peers, and supervisors, case management, referral tracking, and report tracking.
• Ability to identify problems and to formulate effective solutions based on facts.
• Ability to prioritize tasks and adapt to rapidly changing clinical demands.
• Ability to establish and maintain effective working relationships with diverse patient populations and healthcare professionals.
• Ability to work independently with minimal supervision while maintaining accountability.
• Ability to identify problems, analyze relevant information, and develop effective solutions.
• Bilingual English/Spanish preferred.

Certificate/License:

• Current professional license to practice in the State of Texas.

Our Benefits Include:

• 18 PTO days per year & 11 paid holidays
• Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
• Dental & Vision
• Flexible Spending Accounts
• Employer-paid Life Insurance
• Employer-paid Short-Term and Long-Term Disability
• Annual Training
• 403(b) with 5% employer matching

People’s Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity, or sex stereotyping.