Care Coordinator, RN Full-Time

Hillsboro Area Hospital•Hillsboro, IL

About The Position

The Care Coordinator is responsible for supporting patient care coordination and case management activities across the continuum of care. The role helps ensure patients receive appropriate services and resources for safe, efficient, and effective transitions. It facilitates planning, communication, and collaboration among healthcare teams, payers, and community resources while promoting compliance with regulatory standards and organizational policies. The position conducts assessments; develops, implements, and monitors care plans; coordinates services; addresses barriers to care; supports utilization review; participates in quality improvement; and ensures adherence to accreditation guidelines and applicable Federal and State regulations. Care is coordinated across settings including inpatient, outpatient, skilled and long-term care, home health, and hospice, and for patients of all ages, from infants through geriatric.

Requirements

Registered Nurse currently licensed in the state of Illinois.
2 to 5 years of recent clinical experience required.
Basic Life Support (BLS) certification required or must be obtained within 30 days of hire.
Bachelor’s degree preferred.
Knowledge of computers; knowledge of financial and reimbursement issues is helpful.
Proficient verbal, written, and critical-thinking skills.
Ability to collaborate, influence clinical practice, gain cooperation, and facilitate change with physicians, clinical staff, and hospital leaders.
Ability to adapt to reassignment and work under time constraints with minimal supervision.

Nice To Haves

Experience in Case Management and Utilization Review.
Case Management Certification, or willingness to obtain it.
Bachelor’s degree.
ACLS and PALS are optional.

Responsibilities

Deliver nursing care according to the standards of care defined within the Illinois Nurse Practice Act.
Perform comprehensive medical, psychosocial, and legal 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 age groups.
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 care plans for effectiveness and modify them based on patient outcomes.
Facilitate multidisciplinary team meetings and support continuity of care across care settings.
Educate patients about benefits, coverage, and public programs, including Medicare, Medicaid, SSI, and SSDI.
Arrange 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.
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 be able to work remotely for part of the duties if needed.
Communicate effectively with patients, families, and staff across all age groups, respecting patients’ cultural, emotional, and spiritual needs and preserving their dignity.
Promote the hospital’s Mission, Vision, and Values and collaborate with physicians, clinical staff, and hospital leaders to facilitate change.
Maintain professionalism, effective communication and critical-thinking skills, accountability, accuracy, thoroughness, organization, and problem-solving ability.
Follow hospital policies, safety standards, infection-control practices, universal precautions, and required protective-equipment protocols.
Maintain confidentiality of patient, hospital, and physician information and comply with HIPAA.
Adapt to reassignment, work under time constraints with minimal supervision, and stay current in case-management practices and nursing standards.
Complete and maintain required education and training.
Promptly report safety issues, job-related injuries or illnesses, and near misses in SafetyZone; follow Hillsboro Health Standards of Behavior.
Attend required training or meetings and understand compliance responsibilities under Hillsboro Health’s Corporate Compliance Plan and Code of Conduct, including when to contact the Corporate Compliance Officer about possible fraud or abuse.