Care Coordinator - RN

6-8 Years

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Early Applicant

Job Description

6 Months to 2 Years of direct clinical experience required (acute care, ambulatory, home health, or care management)
Provide telephonic and virtual patient assessments, care coordination, and ongoing monitoring for assigned patient populations.
Deliver patient and family education related to conditions, treatment plans, medications, and self-management strategies.
Develop, implement, and update individualized care plans based on clinical guidelines and patient needs.
Monitor patient progress, escalate clinical concerns appropriately, and support early identification of deterioration or barriers to care.
Coordinate services across providers, payers, and community resources to ensure continuity of care and adherence to care plans.
Document all interactions accurately and promptly in electronic health records (EHR) and care management platforms.
Collaborate with clinical and operational team members to optimize workflows and patient engagement.
Strong clinical assessment skills with understanding of chronic disease management, preventive care, and health coaching.
Ability to interpret clinical data, medical instructions, and test results.
Effective verbal and written communication tailored to diverse patient populations.
Comfort working independently in a remote environment while collaborating with distributed clinical teams.