RN Continuing Care Coordinator

Job Summary As a RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience. Responsibilities Strategically assess, plan, and facilitate comprehensive care across the continuum. Advocate for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions. Perform individual needs assessment, care plan design, education, documentation, implementation, and evaluation of outcomes according to state and national guidelines, policies, procedures, and protocols. Coordinate care across multiple provider sites and interdisciplinary teams. Assist patients and/or caregivers with navigating the healthcare system to minimize fragmentation, obtain timely care, and appropriate access to providers/services. Monitor member compliance with scheduling, identify patterns of nonadherence, and coordinate scheduling of needed appointments. Report to the Care Coordination Manager or Director for Quality and Utilization regarding member status and potential risk management. Work with “at‑risk” patients and families on self‑management support. Create a plan of care for health behavior change, setting short and long‑term goals for self‑management of chronic disease and empowering patients, families, and/or caregivers. Qualifications Current Registered Nurse (RN) license that allows practice in the state. Graduate of an accredited nursing program. 1–3 years of related experience. Pay Pay Range: $36.94 – $53.56 /hour. #J-18808-Ljbffr CommonSpirit Health