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Registered Nurse Care Coordinator (RNCC) - Diabetes Education and Management - Outpatient

The Rector & Visitors of the University of Virginia
Full-time
On-site
Charlottesville, Virginia, United States
Overview
The Registered Nurse Care Coordinator (RNCC) is responsible for the organization of patient and family-centered care activities involving two or more participants. The RNCC uses advanced critical thinking to develop, implement, and evaluate individualized care plans, empowering patients and optimizing outcomes. The RNCC marshals and coordinates resources and patient care activities to support transition management through collaboration across the continuum, supporting patients and families’ needs for individualized follow-up and coordination of services across health‑care settings and locations.

Responsibilities

Demonstrate the use of the UVA Professional Practice Model through nursing professional practice, quality achievement, lifelong learning, empowered leaders, innovation, and expert caring.

Plan, coordinate, and prioritize patient care activities considering patients’ unique needs and desired outcomes in collaboration with the inter‑professional team, including consult recommendations and escalation as needed.

Maintain safety and continuity of care using methods such as documentation, hand‑off tools/processes, etc.

Collaborate and advise patients, families, and caregivers in their health‑care decisions, respecting their culture and values.

Provide health education and coaching to patients tailored to issues identified within treatment and service plans through evidence‑based care delivery and safety standards.

Provide facilitative leadership that promotes health equity across the continuum and among interdisciplinary teams to improve population health, patient experience, and cost reduction.

Demonstrate knowledge and ability to participate in and apply research and evidence‑based practices for the improvement of patient care throughout the lifespan and across the continuum.

Take the lead in ensuring continuity and consistency of care across the continuum to promote and facilitate pre‑visit coordination, post‑clinic follow‑up, and handoff between services, along with monitoring and facilitating transitions of care.

Educate patients & families with chronic illness about evidence‑based standards of practice to empower patients to include self‑management strategies.

Identify support needs and develop action plans and guidance to initiate patient‑centered care planning and application of the nursing process.

Contribute to problem‑solving through communication and collaboration and evaluate outcomes of treatment options to include tracking patient progress toward care plans and goals.

Support medication management.

Other duties as assigned.

UVA Nursing Professional Practice Model – Relationship Based Care: Self and Colleagues; Relationship Based Care – Patients and Families; Expert Caring; Empowered Leaders; Lifelong Learners; Quality Achievement; Innovation.

Minimum Requirements

Education: Bachelor of Science in Nursing from an accredited nursing program.

Experience: 1 year of registered nursing experience required; 3 years of related and relevant registered nursing experience strongly preferred.

Specialty Board Certification strongly preferred.

License/Certification: Licensed to practice as a registered nurse in the Commonwealth of Virginia. American Heart Association (AHA) Health Care Provider BLS certification is required.

Physical Demands
Job requires standing for prolonged periods, frequent traveling, and bending/stooping. Proficient communicative, auditory, and visual skills; attention to detail and ability to write legibly; ability to lift/push/pull 20–50 lbs. May be exposed to chemicals, blood/body fluids, and infectious diseases.

Compensation Range
$85,820.80 – $113,401.60 per year.

Benefits

Comprehensive benefits package: medical, dental, and vision insurance.

Paid time off, long‑term and short‑term disability, retirement savings.

Health savings plans and flexible spending accounts.

Certification and education support.

Generous paid time off.

UVA Health is a world‑class Magnet‑recognized academic medical center and health system with a level 1 trauma center. In 2023‑2024, the U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in five adult specialties and fourteen procedures. We are one of 70 National Cancer Institute‑designated cancer centers. UVA Health Children’s is named by the 2023‑2024 U.S. News & World Report as the best children’s hospital in Virginia with nine specialties ranked among the best in the nation. Our footprint also encompasses three community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal‑opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA's commitment to non‑discrimination and equal opportunity employment.

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