Care Coordinator, RN Full-Time

Hillsboro Area Hospital Inc•Hillsboro, IL

8d•$35 - $44

About The Position

The Care Coordinator supports patient care coordination and case management across the continuum of care, helping ensure patients receive appropriate services and resources for safe, efficient, and effective transitions. The role facilitates planning, communication, and collaboration among healthcare teams, payers, and community resources while promoting compliance with regulatory standards and organizational policies. Duties include assessing patients, developing and implementing care plans, coordinating services, monitoring progress, addressing barriers to care, supporting utilization review, participating in quality improvement, and adhering to accreditation guidelines and applicable federal and state regulations. The position delivers nursing care according to the Illinois Nurse Practice Act and serves patients across all age groups, from infants through geriatric patients. It coordinates care among inpatient, outpatient, skilled, long-term care, home health, and hospice settings; supports discharge planning and continuity of care; and addresses clinical, psychosocial, cultural, family, legal, financial, and resource needs. The role also performs required utilization review documentation and chart audits, and may perform some duties remotely as needed. The Care Coordinator is expected to uphold the hospital’s mission, vision, values, policies, safety standards, infection control practices, and Hillsboro Health Standards of Behavior. The position requires professional, collaborative communication, accountability, confidentiality, adaptability, and completion of required training and corporate compliance education.

Requirements

Currently licensed as a Registered Nurse in the state of Illinois.
Two to five years of recent clinical experience required.
Basic Life Support (BLS) certification required, or willingness to obtain it within 30 days of hire.
Proficient verbal, written, and critical-thinking skills.
Ability to maintain confidentiality of patient, hospital, and physician information and comply with HIPAA.
Ability to adapt to reassignment and work under time constraints with minimal supervision.
Ability to complete and maintain required education and training.

Nice To Haves

Bachelor’s degree preferred.
Experience in Case Management and Utilization Review preferred.
Knowledge of computers, financial issues, and reimbursement issues is helpful.
Case Management Certification preferred, or willingness to obtain it.
ACLS and PALS are optional and not required.

Responsibilities

Deliver nursing care according to the standards defined in the Illinois Nurse Practice Act.
Conduct comprehensive medical, psychosocial, and legal patient assessments through direct interaction, record review, and collaboration with caregivers and support systems.
Develop individualized care plans with measurable goals and timeframes for patients of all ages, from infants through geriatric patients.
Implement and coordinate case management interventions, integrating resources and communicating with physicians, payers, and community agencies.
Collaborate with healthcare providers to formulate care plans and provide patient education.
Monitor and evaluate care plans, modifying them as needed based on patient outcomes.
Facilitate multidisciplinary team meetings and support continuity of care across inpatient, outpatient, skilled, long-term care, home health, and hospice settings.
Educate patients on benefits, coverage, and public programs, including Medicare, Medicaid, SSI, and SSDI.
Coordinate patients’ Durable Medical Equipment needs, including timely ordering and delivery to support discharge planning and continuity of care.
Audit patient charts for completeness and accuracy and ensure clinical, regulatory, and documentation requirements are met.
Prepare and complete daily Utilization Review documentation to support compliance and reimbursement processes.
Interact with managed care organizations, implement cost-containment strategies, and conduct utilization review activities.
Address psychosocial needs, cultural considerations, and family dynamics; assist with advance directives and referrals.
Participate in process improvement initiatives to enhance care delivery and patient satisfaction.
Conduct follow-up evaluations across the continuum of care to identify clinical, operational, and financial issues affecting outcomes.
Maintain an organized work environment and demonstrate the ability to work remotely for a portion of duties when needed.
Communicate effectively with patients, families, and staff across all age groups while respecting patients’ cultural, emotional, and spiritual needs and preserving their dignity.
Promote an environment consistent with the hospital’s mission, vision, and values, and collaborate with and influence physicians, clinical staff, and hospital leaders to facilitate cooperation and change.
Maintain professionalism, accountability, accuracy, thoroughness, organizational skills, problem-solving ability, and initiative; adapt to reassignment and time constraints with minimal supervision.
Comply with hospital policies, safety standards, infection control practices, HIPAA, confidentiality requirements, and protocols for required personal protective equipment.
Report safety issues, job-related injuries or illnesses, and near misses in SafetyZone.
Complete and maintain required education and training, stay current in case management practices and nursing standards, and fulfill corporate compliance training and meeting requirements.