CARE COORDINATOR RN

Mmhealth; Batesville, Northern (IN, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Mmhealth is seeking a Care Coordinator at the Physician's Center - Primary Care in Indiana. This role collaborates with chronically ill patients, families, and care teams to promote timely access, reduce ED visits, and support adherence to personalized care plans.

Responsibilities include coordinating care plans, documenting in the EHR, educating patients about community resources, and guiding transitions in care with timely communication.

Qualifications

• Must adhere to HIPAA guidelines and patient confidentiality.
• Provide patient advocacy with empathy and respect.
• Continue education to improve quality of care and professional skills.
• Demonstrate positive, respectful customer service.

Responsibilities

• Uses only approved abbreviations.
• Ensures patient safety goals and actions.
• Calls reports to MD and other providers as warranted.
• Documents in EHR and verifies prior to invasive procedures.
• Reassesses patients after interventions and documents changes.
• Attends Care Coordinator training webinars and meetings.
• Identifies high‑risk patients and coordinates care plans with families.
• Facilitates access to medical and specialty providers.

Skills

Positive attitude

HIPAA compliance

Patient advocacy

Professional customer service

Education

RN license Indiana

Associate degree in nursing

Bachelor's degree preferred

Job description

Location/Department: Physician's Center - Primary Care

80 hours per pay period - benefit eligible

Job Summary:

The Care Coordinator works in collaboration & continuous partnership with chronically ill or “high-risk” patients & their families, clinic/hospital providers & staff, & community healthcare resources in a team approach to: promote timely access to appropriate care; increase utilization of preventative care; reduce ED utilization & hospital readmissions; increase comprehension through culturally – & linguistically – appropriate education; create & promote adherence to a care plan, developed in coordination with the patient & the patient/family; increase continuity of care by managing relationships with tertiary care providers, transitions-in-care & referrals; increase patients’ ability for self-management & shared decision-making; provide medication reconciliation; connect patients to relevant community resources; with a goal of enhancing patient & family health & well-being, increasing patient satisfaction & reducing costs.

Supervisory Responsibilities: None

Duties/Responsibilities:

• Uses only approved abbreviations.
• Understands patient safety goals & actions taken.
• Uses 2 patient identifiers before giving treatments, demonstrates process.
• Understands read back of verbal orders/critical lab values & can state process.
• Understands procedure to clarify physician orders.
• Uses standing orders when indicated.
• Accurately calls report to MD as warranted by condition; reports to other providers as needed.
• Reports sentinel events or adverse drug reactions or incidents as warranted.
• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
• Attend all Care Coordinator training webinars & meetings.
• Provide feedback for the improvement of the Care Coordination program.
• Assist with the identification of “high-risk” patients (the chronically ill & those with special health care needs).
• Work with patients to plan & monitor care; assess patient & family’s unmet health & social needs; develop a care plan with the patient, family & providers (emergency plan, medical summary, & ongoing action plan as appropriate); monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely way & facilitate changes as needed; create ongoing processes for patients & families to determine level of care coordination support they desire at any given point in time.
• Serve as the contact-point, advocate & informational resource for patient, family, payers & community resources.
• Facilitate patient access to appropriate medical & specialty providers.
• Educate patient & family about relevant community resources.
• Cultivate & support primary care & subspecialty co-management with timely communication, inquiry, follow-up, & integration of information into the care plan regarding transitions-in-care & referrals.
• Facilitate & attend meetings between patient, family, care team, payers & community resources as needed.

Required Skills/Abilities:

• Demonstrates a positive attitude & respectful, professional customer service.
• Acknowledges patient’s rights on confidentiality issues, maintains patient confidentiality at all times, & follows HIPAA guidelines & regulations.
• Proactively acts as patient advocate, responding with empathy & respect to resolve patient & family concerns, & recognizes opportunities for improvement to meeting patient concerns.
• Proactively continues to educate self on providing quality care & improving professional skills.

Education and Experience:

• Minimum Associates degree in nursing, Bachelor’s degree preferred
• Minimum of 2 years relevant work experience required
• Must be licensed as a Registered Nurse in the state of Indiana

Physical Requirements:

• Frequent walking, standing, pushing, pulling, stooping, kneeling, reaching, talking, & use of hands
• Occasionally may need to lift up to 25 lbs

Qualifications

Education

Preferred

Bachelors degree in Nursing or better in Nursing.

Equal Opportunity Employer
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