Care Coordinator
We're searching for a Care Coordinator who'll coordinate comprehensive, patient-centered care across the continuum. You'll partner with physicians and interdisciplinary teams to assess needs, plan and manage services, and remove barriers to care. It's a role focused on improving patient outcomes, service, satisfaction, and cost effectiveness while advocating for patients and their families at every step.
Think you've got what it takes?
Job Duties & Responsibilities
Performs comprehensive biophysical, psychosocial, environmental, discharge, and financial assessments to develop individualized, evidence-based care plans
Coordinates care across the continuum and provides ongoing case management, partnering with physicians to allocate resources according to patient risk
Documents and facilitates interdisciplinary plans, ensuring continuity across all patient touch points
Proactively identifies patients needing coordination and works to identify and resolve barriers to care
Monitors patient progress and revises care plans as needs and circumstances change
Communicates and collaborates with multidisciplinary teams through team rounds and patient-centered problem-solving
Reviews clinical documentation, level of care, patient placement, resource utilization, and transitions
Advocates for patients and families, supporting self-care, rights, and safe transitions between settings
Conducts visits and community education and outreach, facilitating access to providers and community resources
Tracks quality, safety, outcomes, utilization, and cost, and participates in performance improvement committees
Maintains confidentiality and supports teamwork, mentoring, and ongoing professional development
Skills & Qualifications
Bachelor's degree in nursing; or associate degree or technical diploma in nursing with current enrollment or acceptance in a BSN program and a signed agreement; or associate degree in a related field accepted by the Texas Board of Nursing for purposes of obtaining and maintaining RN licensure; or current enrollment in a nursing bridge program toward an MSN with verified BSN equivalency or a signed agreement - Required
Current RN license from the Texas Board of Nursing or a Nursing Licensure Compact state - Required
Current BLS certification from the American Heart Association - Required
Three years of nursing experience in an acute care setting - Required
PEARS certification from the American Heart Association - Preferred
CCM certification from the Commission for Case Manager Certification - Preferred
ACM certification from the American Case Management Association - Preferred
CCCTM certification from the Medical-Surgical Nursing Certification Board - Preferred