The Care Coordinator is a Registered Nurse, Licensed Social Worker, or Counselor who provides care coordination, social support, and outreach services. The role helps patients navigate healthcare transitions and supports patient empowerment through health education, advocacy, and coaching. The Care Coordinator leads intake, develops and maintains care plans, and promotes health programs and services. Using information systems and decision support, the coordinator manages a patient panel and proactively contacts, educates, and tracks patients according to disease, risk, self-management status, and family and community needs. The role leads patient-centered care planning, including assessment, planning, implementation or intervention, evaluation, and ongoing monitoring. It also includes in-person visits, self-management resources and education, and coordination across outpatient, inpatient, emergency department, hospitalization, and specialist care transitions.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree