Outpatient Care Coordinator RN

Henry Community Health • New Castle, IN

3d

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 plans support management of chronic conditions and are measured by clinical indicators. RN Care Coordinators keep involved health care providers up to date on case information and help patients navigate the health care system. They cultivate relationships among providers and facilitate shared goals across care settings to achieve coordinated, high-quality, patient-centered care.

The role involves engaging patients in improving their health, coaching patients and families in chronic-condition self-management, coordinating access to medical, specialty, and support services, and maintaining communication and follow-up across care transitions and referrals. The coordinator also serves as an advocate and information resource for patients, families, care teams, payers, and community resources.

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, and ability to identify appropriate communication strategies when required.

Nice To Haves

• BSN and 2 or more years of experience preferred.
• Certified Case Manager (CCM) preferred.

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 toward successful self-management of chronic conditions.
• Create and update personalized patient care plans.
• Facilitate patient 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 transitions in care and referrals.
• Serve as a contact point, advocate, and informational resource for patients, families, care teams, payers, and community resources.
• Track test results, manage medications, and support adherence to follow-up appointments.
• Connect patients with social service programs and entitlements, such as 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 and 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.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed