Clinical Coordinator - Primary Care

Job ID
Optage - Primary Care
Full Time


Optage House Calls provides comprehensive primary care to older adults at their place of residence. A personal physician and nurse practitioner, with extensive experience in geriatric care, lead a team of individuals who collectively work to provide ongoing personal and coordinated care. This special kind of comprehensive care responds to your needs and preferences.


Presbyterian Homes - Optage Primary Care Division is seeking a Clinical Coordinator.  This full time, benefit eligible position is a great opportunity for an experienced clinical leader (RN) to provide clinical leadership to our primary care team of RNs, LPNs and social workers.


Consider joining our team in providing compassionate and high quality care and services within a caring Christian environment.



The Clinical Coordinator – Primary Care is responsible for providing leadership and support for the work of primary care staff (RN/LPN, Social Worker) to ensure the delivery of high quality primary care and services consistent with regulations and established best practices. The Clinical Coordinator works collaboratively with the Chief Medical Officer, NPs and other Optage Primary Care, Home & Community Based Services, Hospice and Senior Dining staff, Presbyterian Homes' Site staff, and functional directors of assigned areas of accountability. 


Key areas of responsibility include, but not limited to include:

  1. Coordinate the service delivery of the primary care staff team, ensuring an integrated, collaborative approach. Provide for an environment that achieves high quality care and service for patients (physical, mental, emotional, social and spiritual) and maintains their independence and dignity to the highest degree possible. Establish and maintain effective communication systems with all customers.
  2. Respond to day-to-day clinical questions/issues from the field and office staff to facilitate optima communication and effective, coordinated workflow.
  3. Participate in the recruitment and hiring of Primary Care RNs, LPNs and LSWs and other assigned staff. In collaboration with the Practice Administrator, coordinate the orientation and training of new primary care staff. Support, coach and supervise assigned staff, including the development and monitoring of goals and individual work plans. Manage performance, including performance reviews for assigned staff.
  4. Implement and maintain Primary Care clinical standards, policies, procedures and practices. Ensure policies and procedures are understood and implemented by staff.
  5. Follow the steps of the nursing process: Assessment, planning, implementation, and evaluation of nursing care based upon regulations and established clinical best practices. Manage and monitor the clinical components of the medical record for completeness and accuracy. Fill in for RN/LPNs as needed in the provision of patient care.
  6. Implement and oversee the CCM/TCM revenue capture process. Oversee completion of the supportive documentation (clinical assessments) for accurate coding and payment.
  7. Participate in team and staff meetings and other meetings and committee work as appropriate to support both service delivery and organizational goals
  8. Promote a spirit of cooperation with all regulatory organizations managing with an expectation of appropriate compliance and corrective measures. Coordinate clinical care with other health care professionals inside and outside PHS.
  9. Implement and maintain monitoring systems and processes to ensure compliance with regulations and established best practices. Conduct regular auditing of care processes including documentation, and evaluating outcomes per policy. Evaluate clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
  10. Responsible for staff scheduling and coverage of RNs, LPNs, social workers and other staff assigned. Manage resource allocations in order to achieve or exceed patient care needs and operational goals. Demonstrate good stewardship of available resources.


  • Registered nurse with current licensure the State Board of Nursing in state(s) in which he/she practices.
  • Current CPR (cardiopulmonary resuscitation) certification for health care providers.
  • Two to Three (2-3) years’ management experience in health care or related field.
  • Must have a valid driver's license in state of residence and proof of auto insurance.
  • Demonstrated knowledge and experience in gerontological nursing, rehabilitative and restorative clinical practices.
  • Demonstrated compatibility with PHS's mission and operating philosophies.
  • Demonstrated ability to read, write, speak and understand the English language to communicate with all customers.


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