Hybrid RN: Ambulatory Care Coordinator & Care Management

At Cleveland Clinic Lou Ruvo Center for Brain Health, our caregivers are dedicated to helping patients cope with and manage the effects of memory loss. Come join us in our efforts to provide effective, evidence-based treatment with the latest technologies and approaches. Here, you will make a difference in the community, gain unmatched hands‑on experience, enhance your skills and build a rewarding, life‑long career at one of the most respected healthcare organizations in the world. As a Care Coordinator, you will work collaboratively with multidisciplinary care team staff across the continuum of care for high‑risk patients. In this role, you will provide coordination of care and disease management longitudinally for patients with chronic conditions or episodic care for a surgical population. You will focus on patient outreach and care coordination for a panel of patients to achieve optimal outcomes and promote wellness, helping to decrease preventable emergency department visits and readmissions while improving patient satisfaction. A Caregiver in this role works a hybrid schedule with three onsite days each week, Monday through Friday (variable start times), and rotating Saturday shift requirements. A Caregiver Who Excels In This Role Will Work collaboratively with a multidisciplinary care team across the continuum of care for high‑risk patients to develop goals, plan interventions and maximize patient outcomes. Provide care and disease management coordination. Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach. Conduct comprehensive clinical assessments that include disease/age‑specific, medical, behavioral, pharmacy, social and end‑of‑life needs of each patient. Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care. Serve as a liaison and advocate for patients and families. Assist in managing transitions of care across care settings, ensuring optimal communication and planning. Identify barriers, facilitate solutions, and connect others to community resources. Minimum Qualifications For The Ideal Future Caregiver Include Graduate from 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 American Red Cross Three to five years of nursing experience Preferred Qualifications For The Ideal Future Caregiver Include Bachelor’s of Science in Nursing (BSN) within three years from hire date Specialty certification Epic EMR experience Case management or care coordination experience Neurological background Physical Requirements Requires full range of motion, manual and finger dexterity and eye‑hand coordination. Requires corrected hearing and vision to normal range. May require some exposure to communicable diseases or bodily fluids. Light Work – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. Personal Protective Equipment Follows Standard Precautions using personal protective equipment as required for procedures. Pay Range Minimum Annual Salary: $63,250.00 Maximum Annual Salary: $96,467.50 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). #J-18808-Ljbffr Cleveland Clinic Lou Ruvo Center for Brain Health