Nurse Care Coordinator - Primary Care Shaw Metro New

The Care Coordinator will systematically review data and collaborate with all involved teams and support services to ensure that patient and family needs are met during inpatient hospitalization or in outpatient/ambulatory setting. Identifies and prioritizes clinical and psychosocial goals throughout inpatient stay or in the outpatient/ambulatory setting; problem-solves as needed to ensure follow-through with multidisciplinary team. Ensures optimal inpatient or outpatient coordination, excellent collaboration between teams, with a focus on family experience and outcomes.

Minimum Education

BSN (Required)

Minimum Work Experience

At least 3 years of inpatient/outpatient nursing experience (Required)

Required Skills/Knowledge

Excellent communication skills required. Ability to work with diverse groups. Ability to de-escalate difficult situations and perform service recovery as needed. Knowledge of clinical processes and hospital procedures for admission, inpatient stay, transfer, discharge and/or outpatient/ambulatory setting.

Required Licenses And Certifications

Registered Nurse in the District of Columbia (Required)

Basic Life Support for Healthcare Provider (BLS) (Required)

Functional Accountabilities

Professional Practice/Research

• Identifies patients/families for Care Coordination services in a systematic manner.
• Completes ongoing staff education regarding coordination of care, culturally sensitive care, compassion fatigue, and other relevant topics.
• Integrate evidence-based practice and research into care delivery
  
  

Structural Empowerment

• Follows through on any service needs or requests until complete and satisfactory resolution; updates the team as needed.
• Supports unit-based and/or outpatient family activities and education to improve healthcare outcomes including but not limited to PICU support groups.
• Assists in prioritizing need for inpatient and/or outpatient support services e.g. Concierge, Nurse Navigator, Language Services, Lab, Radiology and Regional outpatient locations.
  
  

Exemplary Professional Practice

• Completes documentation of all relevant conversations, meetings, and referrals.
• Rounds daily and escalates any family concerns or needs to the appropriate person or service.
• Orients families to the PICU environment.
• Collaborates with Pharmacies (Specialty and Local) for medication adherence (if applicable)
  
  

New Knowledge, Innovations, and Improvements

• Participates in safe sleep rounds for identified infants in the unit and initiates other safety-based training as needed e.g. Family and Friends CPR.
• Sends regular updates to the leadership team regarding family support and patient status.
• Use the nursing process in the clinic setting and in Telehealth services to assess patient problems and concerns; critically analyze and integrate subjective and objective data (if applicable)
  
  

Leadership

• Updates team members as frequently as needed to ensure “one voice” consistent communication to families.
• Acts as a liaison among clinical services e.g. Inpatient teams, multidisciplinary teams, surgical teams; and between clinical services and support services e.g. social work, case management.
  
  

Organizational Accountabilities

Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met
  
  

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Receptive to others’ ideas and opinions
  
  

Performance Improvement/Problem-solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• Make appropriate decisions, using sound judgment
  
  

Cost Management/Financial Responsibility

• Use resources efficiently
• Search for less costly ways of doing things
  
  

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
  
  

Primary Location

District of Columbia-Washington

Work Locations

Shaw Metro

Job

Nursing

Organization

Goldberg Cntr Cmnty Ped Hlth

Position Status

R (Regular)

Shift

Variable

Work Schedule

Mon-Thurs (8-830p) Fri-Sat (8-6p)

Job Posting

Oct 7, 2025, 12:00:16 AM

Full-Time Salary Range

75545.6