Southern NH Health - RN Coordinator Embedded Care - Center for Recovery Management - Full time

SolutionHealth • Nashua, NH

13d

About The Position

As an RN Embedded Care Coordinator, you’ll be at the heart of our population health strategy, managing care for complex patients within a primary care setting. You’ll collaborate with interdisciplinary teams to create individualized care plans, support chronic disease self-management, and ensure smooth transitions across care settings. This role is essential in promoting patient empowerment, improving clinical outcomes, and enhancing the overall quality of care.

Requirements

• A licensed RN in New Hampshire with at least 2 years of clinical nursing experience
• Skilled in chronic disease management, telephone triage, and patient education
• Proficient in EMR systems and PC-based applications
• Compassionate, adaptable, and highly organized with strong communication skills
• Committed to professional growth and collaborative care

Nice To Haves

• Experienced in ambulatory care, case management, or population health (preferred)

Responsibilities

• Deliver the full scope of nursing care in-person, by phone, and via telehealth
• Assess, plan, implement, and evaluate individualized care plans for complex patients
• Provide education and coaching for chronic disease self-management (e.g., diabetes, COPD, CHF, asthma)
• Coordinate care across transitions, including hospital discharges and specialty referrals
• Use population health tools and EMR systems for patient tracking and pre-visit planning
• Collaborate with internal and community partners to support patient-centered care
• Participate in quality improvement initiatives and maintain professional competencies

Benefits

• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Short-term, long-term disability, life & pet insurance
• Tuition reimbursement & Nursing Student Loan Paydown Program
• 403(b) Retirement savings plans
• Continuous earned time accrual & more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees