PATIENT CARE COORDINATOR (RN)

SOFHA EMPLOYMENT SERVICES INC•Johnson City, TN

About The Position

The Patient Care Coordinator (RN) helps patients transition from an inpatient setting back home or to a post-acute setting. The role develops, initiates, and monitors plans of care that support patient self-management, using motivational interviewing techniques to enhance outcomes. The coordinator assesses and coordinates options and services to meet patients’ needs, identifies social determinants of health and refers patients to community resources and social worker support, documents accurately in the medical record and CareTrac, and assists providers with closing care gaps through patient outreach.

Requirements

  • Graduate of an accredited school of nursing as a registered nurse.
  • At least two years of experience.
  • Current state nursing license in good standing.

Nice To Haves

  • Experience in a similar role is preferred.

Responsibilities

  • Help patients transition from an inpatient setting back home or to a post-acute setting.
  • Develop, initiate, and monitor plans of care for patient self-management.
  • Use motivational interviewing techniques to enhance patient outcomes.
  • Access, plan, implement, monitor, and evaluate options and services required to meet patients’ needs.
  • Identify social determinants of health and refer patients to community resources and social worker support.
  • Accurately document in the medical record and CareTrac.
  • Assist providers with closing care gaps through patient outreach.

Benefits

  • Company-provided life and accidental death and dismemberment insurance.
  • Company-provided long-term disability insurance.
  • Employee Stock Ownership Plan.
  • 401(k) company contributions.
  • Voluntary medical, dental, vision, and additional life insurance options.
  • Company match in Health Savings Account plans, subject to restrictions.
  • Vacation, personal, sick, and holiday time off.
  • Team member perks and discounts.
  • Tuition assistance.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service