Care Coordinator - Nurse (Remote)

Serefin

6d • Remote

About The Position

Serefin Health is a leading healthcare organization dedicated to improving client outcomes and providing exceptional care coordination. Our nursing team supports diverse programs and populations, including care coordination across the lifespan, travel support, employee wellness clients, and other Serefin programs as they evolve. We are currently seeking motivated and experienced nurses to join our Care Coordination nursing team. If you are a dependable and compassionate nurse with a commitment to delivering high quality care and possess excellent communication skills, we invite you to be a part of our innovative health team. Role Profile As a Care Coordinator - Nurse (Remote) at Serefin Health, you will play a crucial role in supporting clients across various care programs, locations and client populations. Reporting to the Manager, Virtual Nursing Team, the Care Coordinator – Nurse provides dependable, compassionate, client-centred virtual nursing support to clients and families. You will help clients understand their needs, navigate resources, follow through on care plans, and feel supported throughout their healthcare journey.

Requirements

• Registered Nurse (RN), Registered Practical Nurse (RPN), or Licensed Practical Nurse (LPN) currently registered and in good standing with their respective college.
• Minimum 3 years of nursing experience in acute care (e.g., Emergency, Medicine, ICU), community care, primary care, complex care, or a related setting.
• Proficiency in English is required.
• Must have a private, secure workspace with a door that can be closed to maintain client privacy and confidentiality.
• Up-to-date Police Reference Check.

Nice To Haves

• Experience in nursing with the elderly population and individuals with complex needs is desirable.
• French fluency is strongly preferred; additional languages are an asset.
• We are dedicated to fostering a culturally safe, inclusive, and equitable workplace. We strongly encourage applications from Indigenous peoples (First Nations, Inuit, and Métis), and we value Indigenous knowledge, lived experience, and community connection. Voluntary self-identification is welcomed and respected.
• Comfortable using technology, including electronic documentation platforms, Microsoft 365 applications, telephone systems, and other digital tools.

Responsibilities

• Complete intakes and nursing assessments to understand client needs, health history, social supports, caregiver needs, goals and appropriate program/resource pathways.
• Develop, document and update care coordination plans with clients and caregivers, including priorities, realistic goals, follow-up actions and clear next steps.
• Support clients, caregivers and families through empathetic education, coaching and motivational interviewing so they understand provider instructions, symptoms, care plans, treatments, records and self-management needs.
• Navigate healthcare, community, social, benefits, workplace, wellness, travel and virtual resources; support appointment preparation, referrals and follow-up; identify gaps; and advocate respectfully for access, continuity and client preferences.
• Coordinate and share relevant information with authorized providers, care team members, program partners and internal colleagues in a timely, privacy-compliant manner to support transitions, reduce duplication and improve continuity of care.
• Provide non-emergency guidance, check-ins and monitoring; recognize changes, symptom concerns, mental wellbeing or caregiver concerns; and escalate for clinical review, provider follow-up or emergency care as appropriate.
• Use Serefin digital platforms, documentation tools and communication pathways securely to consolidate health information, manage caseload priorities, maintain confidentiality and support high-quality care.
• Collaborate with colleagues and leaders to strengthen care coordination resources, referral/resource libraries, workflows, digital tools, platforms and communication pathways; participate in meetings, training and quality improvement.
• Work independently with sound judgement while remaining responsive, team-oriented and aligned with clinical standards, policies and operational needs.
• Support the organization's operational priorities and contribute to other business initiatives as required.

Benefits

• The role requires the ability to work regularly on evenings, nights, weekends and statutory holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed