RN Care Coordinator - Addiction Recovery

Cleveland Clinic•Akron, OH

4d•Onsite

About The Position

The RN Care Coordinator in Addiction Recovery supports patients who come to the Emergency Department seeking help with substance use recovery. The caregiver assesses patient needs, educates patients about treatment options, and coordinates referrals to community addiction recovery resources. Working as a liaison with behavioral health providers and recovery organizations throughout Summit County, the RN Care Coordinator connects patients with appropriate levels of care and facilitates transitions to treatment services. The role also includes ongoing follow-up to encourage engagement, support recovery goals, and promote continuity of care. The position is based at Cleveland Clinic Akron General Hospital in the Emergency Department and is scheduled for 24 hours per week across two 12-hour shifts, 7:00 a.m. to 7:30 p.m. Weekend shifts are rare and may be needed for coverage. Holiday and on-call coverage are not required.

Requirements

Graduate of an accredited school of Professional Nursing.
Current state licensure as a Registered Nurse (RN).
Basic Life Support (BLS) certification through the American Heart Association (AHA) or the American Red Cross.
Three to five years of nursing experience, notably in Oncology or Ambulatory.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Care management experience, including care coordination or case management.
Emergency Department experience.
Addiction recovery experience.

Responsibilities

Identify patients with ongoing care coordination needs and determine the nature and duration of specialty care team and coordinator involvement.
Conduct targeted outreach to a defined panel of high-risk patients to support timely, efficient care across the continuum.
Use technological tools such as registries, patient lists, and the care team tab to manage populations and conduct comprehensive clinical assessments of medical, behavioral, pharmacy, social, and end-of-life needs.
Inform patients and families about care coordination, share information with the healthcare team, and collaborate with the interdisciplinary team to develop goals and interventions.
Reassess patient progress toward goals and update plans of care as appropriate.
Ensure care gaps are closed around specialty disease, chronic disease, and surgical episodes.
Serve as the primary patient contact for the team and liaison among patients, families, physicians, and clinical staff, advocating for patients and families.
Coordinate transitions of care across settings, support communication and planning, identify barriers to care, and facilitate solutions.
Partner with care coordinator teams, including primary and transitional care social work, rehabilitation, pharmacy, and palliative care.
Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.
Assess patient and family knowledge, health literacy, and readiness to change, using teach-back to assess understanding.
Coach patients and families in self-management support, including setting long- and short-term goals.
Educate patients about specialty or surgical conditions, including preoperative, perioperative, postoperative, recovery, prevention, and health-maintenance needs.