Care Coordinator RN (Per Diem) - Messena, NY

Rochester Regional Health

9d•$30 - $53•Onsite

About The Position

The Care Coordinator works in collaboration and continuous partnership with chronically ill or high-risk patients and their families or caregivers, clinic, hospital, and specialty providers and staff, and community resources. The role facilitates a shared-goal model across care settings to support coordinated, high-quality, patient- and family-centered care. The Care Coordinator acts as a liaison between patients and the healthcare system, helping ensure patients receive needed care and understand their medical condition, medications, and other instructions. The position coordinates patient-care services to help reduce costs by limiting duplication of services. The position floats among Behavioral Health locations in Massena, Potsdam, and Gouverneur, New York. The per-diem schedule is Monday through Saturday, with listed schedule options of 8:00 a.m.–4:30 p.m., 9:00 a.m.–5:00 p.m., or 8:00 a.m.–6:00 p.m. The role is classified as light clinical work, involving frequent standing and walking, occasional lifting of objects up to 20 pounds, and routine reaching, grasping, and fine manipulation. It requires strong visual and auditory acuity, multitasking, prioritization, coordination with interdisciplinary teams, and emotional resilience. Potential exposures include infectious materials, biological specimens, cleaning agents, sharps, chemical reagents, and wet surfaces. PPE use and TB testing are commonly required. Schedule flexibility is commonly required. Accommodations will be considered for physical requirements reported by an employee or their physician or delegate.

Requirements

Associate of Applied Science (AAS) in Nursing.
Valid New York State RN license.

Nice To Haves

Bachelor of Science in Nursing.
Three to five years of experience in clinical or community resource settings.
Care coordination and/or case management experience.
Experience working in partnership with an interdisciplinary healthcare team.
Excellent interpersonal skills, including strong written and verbal communication skills.
Experience utilizing an Electronic Medical Record.
Ability to apply decisive, sound, objective clinical judgment to cases of varying complexity.

Responsibilities

Identify patients’ needs and create and adjust individualized, evidence-based care plans.
Educate patients, address barriers to outcomes, and coordinate with community and regional health services.
Provide tailored education on self-management, diet, medications, and tests.
Support high-risk patients and lead patient support groups or shared medical appointments.
Ensure safe and effective nursing care and triage patient calls.
Facilitate team huddles and collaborate with community resources to extend patient care.
Collect and report patient data.
Participate in team and educational conferences and engage in performance and continuous quality improvement initiatives.
Coordinate patient-care services to help reduce duplication of services and costs.
Act as a liaison between patients and the healthcare system, helping patients obtain needed care and understand their conditions, medications, and instructions.