Care Coordinator - RN

Cottage Hospital•Woodsville, NH

2d•Onsite

About The Position

Care Coordinator RN Rowe Health Center | Cottage Hospital Schedule: Tuesday–Friday | Outpatient Setting Cottage Hospital is seeking a compassionate, organized, and clinically strong Registered Nurse Care Coordinator to join our Rowe Health Center team. This role is ideal for an RN who enjoys building long-term patient relationships, coordinating care across services, and helping patients navigate complex healthcare needs. If you’re passionate about preventative care, care transitions, and supporting high-risk patients in an outpatient setting, we invite you to apply and become part of a collaborative, community-focused care team. Job Summary The Care Coordinator RN works in close collaboration with patients, families, primary care providers, specialists, and community partners to ensure timely access to care and continuity across the healthcare continuum. This role focuses on supporting chronically ill and high-risk patients, improving preventive care utilization, and reducing emergency department visits and hospital readmissions. In addition to care coordination, this position plays a key role in clinical triage , medication refills, and medication prior authorizations. The Care Coordinator RN uses clinical judgment, assessment skills, and critical thinking to guide patients toward appropriate levels of care and support safe symptom management.

Responsibilities

Partner with high-risk and chronically ill patients and their caregivers to support individualized care plans
Coordinate care across clinics, hospital departments, specialty providers, and community resources
Support care transitions following hospital admissions, discharges, and emergency department visits
Conduct comprehensive preventive services, including: Medicare Annual Wellness Visits Transitional Care Management (TCM) Chronic Care Management (CCM) Advance Care Planning
Promote patient self-management, education, and behavior-change strategies
Monitor patients with multiple co-morbidities or high risk for readmission and intervene proactively
Assist Clinic RNs with telephone triage , conducting initial patient assessments and determining urgency
Use clinical judgment to guide patients toward appropriate levels of care (home care, clinic visit, urgent or emergent care)
Assist with medication prior authorizations , denials, and appeals
Support providers by tracking, monitoring, and completing medication refill requests
Promote clear communication across the care team to ensure alignment on patient care plans
Maintain accurate and timely documentation in the electronic medical record
Perform other duties as assigned to support clinic operations and patient care