Care Coordinator – RN (Multiple Openings)

Central City Health, Inc.; Detroit (MI); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Student loan repayment assistance

Job summary

Central City Health, Inc. is seeking a Nurse Care Coordinator to serve as the primary clinical point of coordination for an assigned panel of adult members.

You will provide continuous oversight between scheduled visits, use nursing judgment, and proactively monitor changes in clinical and social needs while coordinating across primary care and behavioral health services. The role requires Michigan RN licensure, BLS, and strong experience in ambulatory or care coordination settings.

Qualifications

• Active, unrestricted Michigan RN licensure.
• BLS certification required.
• Strong clinical triage judgment, including medication reconciliation competency.
• Experience with EHR-based registry or panel management, and comfort with proactive patient outreach.
• Minimum two years' clinical nursing experience; ambulatory care, primary care, or care coordination experience strongly preferred.
• Boundary of triage vs provider sign-off reviewed by leadership before posting.

Responsibilities

• Coordinate care for an assigned panel of adult members with continuous oversight between visits.
• Monitor changes in clinical and social needs; perform medication reconciliation and clinical triage.
• Facilitate timely intervention and care coordination across primary care, behavioral health, substance use disorder, pharmacy, dental, and case management.

Skills

Nursing care coordination

Clinical triage

Medication reconciliation

Outreach to patients

Ambulatory care experience

Education

Michigan RN licensure

BLS certification

Tools

EHR registry/panel management

Job description

Join our CCH team and you can apply for student loan repayment help.

Join our CCH team and you can apply for student loan repayment help.

Under the guidance of the Nursing Director, the Nurse Care Coordinator serves as the primary clinical point of coordination for an assigned panel of adult members, providing continuous oversight between scheduled visits. Utilizing nursing judgment and a proactive, registry-driven approach, this role monitors for changes in members' clinical and social needs, performs medication reconciliation and clinical triage, and facilitates timely intervention and care coordination across primary care, behavioral health, substance use disorder, pharmacy, dental, and case management services. The Nurse Care Coordinator promotes continuity of care by maintaining clinical oversight of the member's needs and ensuring appropriate coordination and follow-through across service lines.

Education/Experience

• Active, unrestricted Michigan RN licensure
• BLS certification required.
• Strong clinical triage judgment, including medication reconciliation competency.
• Experience with EHR-based registry or panel management, and comfort with proactive patient outreach.
• Minimum two years' clinical nursing experience; ambulatory care, primary care, or care coordination experience strongly preferred.
• Scope-of-practice note: the specific boundary of what this role may independently triage or assess versus what requires provider sign-off is a regulatory/clinical question, not a design preference, and must be reviewed and confirmed by CCH clinical and compliance leadership before this role is finalized or posted.