Registered Nurse, Care Coordinator

CareATC • Charlottesville, VA

1d • Onsite

About The Position

This central role provides clinical oversight for our Collaborative Care and Chronic Disease Management initiatives. You'll focus on advocacy, education, and case management, free from the constraints of the fee-for-service model. The Patient Wins: Little or no cost for excellent medical care or dispensed medication, empowering better self-management of chronic conditions. You Win: Enjoy a consistent schedule with no on-call, weekend, or holiday schedules, allowing you to focus on high-level patient care and team collaboration. We are seeking an experienced Registered Nurse Care Coordinator with strong communication skills to be a central member of the Clinical Innovations team. This role is responsible for providing clinical oversight, case management, and care coordination for patients enrolled in Collaborative Care and Chronic Disease Management initiatives.

Requirements

• Bachelor’s degree in Nursing from an accredited university.
• Registered Nurse, Multi-state license required. License must be current and in good standing.
• Minimum 5 years of experience working in a healthcare setting or a similar setting.
• Working knowledge of health insurance plans, EMR systems, and Microsoft Office platforms.
• Must be a strategic thinker with the ability to analyze problems, prioritize solutions, and manage multiple complex situations.
• Must be able to work independently, exhibit critical thinking, and prioritize tasks effectively.
• Strong organizational, communication, flexibility, and time management skills are required.
• Current CPR certification and up-to-date health records (immunizations).

Nice To Haves

• Motivational interviewing

Responsibilities

• Clinically assess enrolled patients, utilizing knowledge and experience in interpreting lab values and clinical measures.
• Provide one-on-one advocacy, chronic disease management, and care coordination to assist in treatment plan implementation.
• Conduct clinical outreach and use motivational interviewing (preferred) to empower patients to self-manage their health and chronic conditions.
• Lead, organize, and document interdisciplinary Collaborative Care team meetings with assigned Health Center staff and ancillary providers.
• Collaborate with the Clinical Innovations team to provide clinical guidance, education, and program oversight.
• Utilize various technology platforms to identify high-risk populations for outreach and stay current on clinical best practices.
• Assist with the creation, implementation, and maintenance of programs, initiatives, and educational handouts.
• Efficiently and accurately chart patient interactions and care plans in the EMR.
• Track and audit charts for all enrolled patients.
• Conduct large-scale telephonic outreach to entice patients into programs.
• Manage and process referrals as part of comprehensive patient care.

Benefits

• Full benefit package, for eligible roles, including Medical, Dental, Vision, 401K, PTO, Disability & Life Insurance, and a Wellness Program.
• Continuing Education Stipend

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees