Nurse Care Coordinator - North Charleston, SC

Quality Healthcare Development LLC•North Charleston, SC

About The Position

Quality Healthcare Development is seeking a Nurse Care Coordinator to develop and implement a comprehensive care coordination program in partnership with the Quality Director. The role supports patients in the Accountable Care Organization (ACO) population with the goals of improving care quality and patient outcomes and reducing the overall cost of care. The Nurse Care Coordinator works with patients, families, providers, and healthcare teams to coordinate services and resources across the continuum of care. The role promotes patient engagement, self-management, shared decision-making, and health literacy, and serves as a liaison between patients, providers, and community resources to support coordinated, efficient, patient-centered care. The position is primarily performed in an office or clerical environment and involves telephone outreach, extensive computer use, and occasional office encounters. The role is classified as exempt under the FLSA professional exemption. Annual safety, emergency action plan, and HIPAA compliance training is required.

Requirements

Bachelor’s degree in Nursing (BSN).
Current Registered Nurse (RN) license in the State of South Carolina.
Strong interpersonal communication and organizational skills.
Ability to work independently, take initiative, and identify opportunities for professional growth.
Strong critical-thinking and problem-solving abilities.
Ability to quickly assess and prioritize patient needs.
Experience engaging patients through telephone outreach and care management activities.
Comprehensive knowledge of chronic health conditions and clinical assessment parameters.
Strong knowledge of healthcare systems and care navigation.
Flexibility and adaptability in a dynamic healthcare environment.
Proficiency in Microsoft Office and general computer systems.
Proficiency in basic computer applications and electronic medical record systems.
Ability to frequently sit for extended periods while using a computer and telephone system.
Ability to occasionally walk, stand, bend, and reach during office encounters.
Ability to communicate clearly and effectively by speaking and hearing over the telephone and in person.
Adequate visual acuity to read electronic screens, medical records, and printed documents.
Ability to occasionally lift and/or carry lightweight office items up to 10–15 lbs.

Nice To Haves

At least five years of experience in a clinical or outpatient setting.
Experience in care coordination, case management, population health, or value-based care.
Experience with Electronic Medical Records (EMR) systems.
Experience with Aprima, ECW, Athena, Greenway, Allscripts, or other population health platforms.

Responsibilities

Participate in care coordination program development, evaluation, and improvement initiatives.
Conduct patient outreach by telephone and occasional office encounters, and maintain regular communication with patients in the assigned caseload.
Coordinate patient activities and support appropriate utilization of healthcare services.
Support care gap closure and ensure appropriate follow-up care.
Include patients’ family members, caregivers, and support systems in care coordination when appropriate.
Promote patient engagement, self-management, and shared decision-making.
Help patients and caregivers understand condition management, medications, tests, referrals, and recommended services.
Collaborate with patients, providers, and healthcare teams to develop care plans that maximize health outcomes and cost-effective care.
Consult with providers and healthcare team members to address care issues and barriers to treatment.
Coordinate care across the continuum, including post-discharge follow-up calls for hospitalized patients.
Assist patients in accessing community resources and financial assistance when appropriate.
Identify and address barriers to adherence to treatment plans.
Use motivational interviewing and other strategies to promote engagement and improved health outcomes.
Assess and implement strategies to improve patient and caregiver health literacy, and provide education and resources for informed healthcare decisions.
Monitor care plan effectiveness and revise plans in collaboration with patients and the healthcare team.
Accurately and promptly document patient care coordination activities.
Serve as a patient advocate throughout the care coordination process.
Participate in quality improvement initiatives and care coordination program evaluations.
Follow HIPAA regulations and patient confidentiality requirements.
Demonstrate awareness of and responsiveness to cultural and demographic diversity within the patient population.