RN Care Coordinator

PUEBLO COMMUNITY HEALTH CENTER INC•Pueblo, CO

2d•Onsite

About The Position

The Registered Nurse (RN) Care Coordinator provides nursing and care coordination services to support patient-centered care in an ambulatory community health setting. This role supports clinical care delivery, preventive services, chronic disease management, and population health activities through collaboration with providers and the interdisciplinary care team. The RN Care Coordinator works across the lifespan and performs duties in alignment with Pueblo Community Health Center’s mission, values, and policies.

Requirements

Registered Nurse with a valid and unrestricted Colorado license.
Current B.L.S. with skills demonstration C.P.R. certification for Healthcare Providers required.
Valid driver’s license and auto insurance as required by law.
Strong verbal communication skills, including the ability to understand, present, and exchange information clearly.
Proficiency in reading, interpreting, and composing written materials such as patient care instructions, policies, and reports.
Excellent memory retention to apply procedures, policies, and clinical guidelines effectively.
Analytical skills, mathematical reasoning, and problem-solving abilities to manage clinical and administrative tasks.
Strong understanding of chronic conditions such as diabetes, hypertension, COPD, and cardiovascular disease.
Exceptional ability to prioritize tasks, maintain accurate records, and manage multiple responsibilities effectively.

Nice To Haves

Experience in care coordination, case management, or chronic disease management preferred.
Previous experience with adult health and/or management of chronic conditions preferred.

Responsibilities

Provide registered nursing services and care coordination to support clinical, preventive, chronic, and population health care needs across the lifespan.
Support care coordination activities across clinical, preventive, chronic, and population health initiatives, including identification of care gaps and facilitation of appropriate follow-up per protocol or provider direction.
Assist with patient engagement, education, and communication related to health maintenance, chronic conditions, preventive services, and care planning within RN scope of practice.
Document nursing care, patient interactions, and coordination activities accurately in EPIC, the Electronic Medical Record (EMR), and utilize EPM/EHR systems according to established workflows.
Respond to urgent clinical communications, including critical laboratory results and provider requests, during scheduled work hours.
Perform all duties in alignment with the philosophy, mission, values, and Communicate with Heart service model supported by the Board of Directors of Pueblo Community Health Center, Inc.
Adhere to all Pueblo Community Health Center policies and procedures, including Infection Control and Nursing Policies and Procedures.
Collaborate effectively with providers, Medical Assistants, Care Coordinators, and other members of the integrated care team to promote quality, continuity, and efficiency of care.
Support clinic operations and patient flow, including assisting with patient intake, scheduling, messaging, record management, and administrative tasks as assigned.
Participate in employee health activities and other organizational clinical services as assigned.
Attend mandatory meetings, trainings, and required education.
Maintain current RN licensure and CPR certification.
Provide assistance in emergency situations when providers are called upon to render care to individuals near the health center, as appropriate.
May provide supervision or support to students or trainees assigned to the health center.
Perform other duties as assigned.