Clinical Coordinator

Position Overview

The Clinical Coordinator supports the delivery of coordinated, patient-centered care across clinical and research programs at Marshall University and Marshall Health. Projects may include connected care, remote patient monitoring (RPM), diabetes and hypertension management, obesity and cardiometabolic health, and other initiatives serving rural and underserved populations.

Working with clinical leadership and program managers, the coordinator organizes patient care activities, supports participating sites, and ensures timely follow-up of monitoring results, referrals, and care plans. The role connects multidisciplinary teams to deliver consistent care between visits. Candidates with nursing, pharmacy, or relevant science degrees are welcome. Duties are assigned according to education, training, demonstrated competencies, and professional licensure where applicable. Clinical assessments and treatment decisions remain with appropriately licensed professionals.

Essential Duties and Responsibilities

Patient Identification and Care Coordination

• Coordinate patient identification, referrals, eligibility review, enrollment, and baseline information collection. Ensure that the treating provider confirms clinical eligibility and that required consent and program documentation are completed.
• Assess care coordination needs within professional scope, including barriers related to transportation, connectivity, health literacy, medication access, and social support. Arrange appropriate referrals and track their completion.
• Coordinate appointments, monitoring reviews, laboratory follow-up, nutrition counseling, lifestyle coaching, and other services identified in the care plan. Communicate outstanding needs and changes in patient status to the responsible clinician.
• Support transitions between hospital, outpatient, home, and community settings. Reinforce clinician-provided instructions and confirm follow-up arrangements with patients, caregivers, and receiving teams.

Remote Monitoring and Clinical Follow Up

• Coordinate patient onboarding to approved monitoring devices and platforms, including education, setup, initial transmission checks, and access to technical assistance. Track engagement and address missed transmissions or interrupted participation.
• Track assigned monitoring information and alerts using approved workflows. Route abnormal findings, concerning trends, and patient-reported symptoms to the appropriate clinician within established response timeframes. Clinical interpretation and assessment are performed by appropriately licensed staff.
• Track clinical alerts and follow-up tasks through documented resolution. Escalate urgent findings, unanswered alerts, and safety concerns through established clinical and emergency procedures.
• Support standardized care pathways for diabetes, hypertension, and related conditions. Coordinate reassessment and follow-up after clinician-directed changes to treatment or monitoring plans.

Patient Education and Medication Support

• Provide culturally responsive education using approved materials and teach-back methods. Help patients and caregivers understand program expectations, device use, symptom reporting, and chronic disease self-management.
• Collect patient-reported medication information and identify access or adherence barriers using approved procedures. Route discrepancies, possible adverse effects, and treatment questions to licensed clinicians; support follow-up and documentation of medication reconciliation.
• Provide nursing assessment or pharmacist-led medication review and counseling only when supported by the individual’s license, competence, and institutional authorization. Implement medication changes only under authorized orders or approved collaborative arrangements.

Team and Site Support

• Serve as a clinical coordination contact for participating sites and interdisciplinary teams. Facilitate case reviews, clarify handoffs, and communicate operational barriers to clinical leadership and the program manager.
• Support staff orientation and training on care pathways, documentation, monitoring workflows, and escalation procedures. Help maintain current protocols and practical workflow guidance with clinical subject-matter experts.
• Work with health coaches, community health workers, and community partners to maintain patient engagement and access to services while preserving clear responsibilities for clinical care.

Documentation and Quality Improvement

• Document patient contacts, assessments performed, monitoring reviews, referrals, interventions, and follow-up accurately and promptly in the electronic health record and approved program systems.
• Work with program managers and data analysts to track enrollment, engagement, retention, response times, referral completion, data completeness, and patient experience. Support reporting and quality reviews with accurate clinical documentation.
• Identify care gaps and workflow problems, participate in case and safety reviews, and help implement and evaluate corrective actions. Escalate incidents and confidentiality concerns through institutional channels.
• Follow applicable professional standards, institutional privacy and security requirements, and approved project procedures. For research activities, support protocol adherence, required training, and documentation under the direction of the investigator and research team.