Outpatient Care Coordinator RN

Henry County Memorial Hospital•New Castle, IN

About The Position

The RN Care Coordinator collaborates with providers, moderate- to high-risk patients, and the primary care team to assess readiness for change and develop patient-centered care plans. The role supports chronic condition management using clinical indicators and helps ensure that providers involved in a patient’s care are up to date on relevant case information. The coordinator guides patients through the health care system and builds relationships among providers by facilitating shared goals across care settings to promote coordinated, high-quality, patient-centered care.

Requirements

  • Current Indiana RN licensure.
  • Previous experience caring for patients with chronic diseases.
  • Demonstrated essential leadership, communication, education, collaboration, and counseling skills.
  • Outstanding written and verbal communication skills.
  • Excellent organizational skills.
  • Ability to travel locally.
  • Knowledge of and sensitivity to communication strategies and accessibility, including the ability to identify appropriate communication strategies when required.

Nice To Haves

  • BSN.
  • Two or more years of experience.
  • Certified Case Manager (CCM) certification.

Responsibilities

  • Engage high-risk individuals in activities to improve their health and partner with their care team to establish wellness and chronic-condition self-management goals and action steps.
  • Use a coordinated strategic approach to detect chronic disease early and manage it effectively.
  • Coach patients and families in successfully self-managing chronic conditions.
  • Create and update personalized patient care plans.
  • Facilitate access to appropriate medical and specialty providers and care coordination support specialists, such as diabetes educators.
  • Support primary care and subspecialty co-management through communication, inquiry, follow-up, and integration of information into care plans regarding care transitions and referrals.
  • Serve as a contact point, advocate, and informational resource for patients, families, care teams, payers, and community resources.
  • Track test results, medication management, and adherence to follow-up appointments.
  • Link patients to social service programs and entitlements, including transportation assistance and interpretation services.
  • Conduct regular patient follow-ups to evaluate progress, promote continuity of care, and support improved health outcomes.

Benefits

  • Flexible scheduling.
  • Competitive compensation.
  • Bonuses.
  • Discounts for the employee and family.
  • Health insurance.
  • Vision insurance.
  • Dental insurance.
  • Continuing education scholarships.
  • Generous paid days off (PDO), with the option to roll over unused hours each year.
  • Employer-funded pension.
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