Care Coordinator RN (Per Diem) - Messena, NY

Rochester Regional Health; Town of Massena (NY); On-site; USD 41,000 - 73,000; Part time

Job summary

Rochester Regional Health in Massena, NY seeks a Care Coordinator RN (Per Diem) to support Behavioral Health across Massena, Potsdam and Gouverneur. The role partners with patients, families, and interdisciplinary teams to develop individualized care plans, educate patients on conditions and medications, and coordinate services to improve outcomes.

This per diem RN position offers flexible shifts, requires NY RN licensure and an AAS in Nursing, with BS preferred.

Qualifications

• AAS in Nursing and NYS RN license required.
• BS in Nursing preferred.
• 3–5 years’ experience in clinical or community resource settings; care coordination desirable.

Responsibilities

• Care Coordination – Identify patients’ needs, develop individualized care plans, educate patients, address barriers, and coordinate with community health services.
• Patient Education & Support – Provide tailored education on self-management, medications, and tests; support high-risk patients; lead patient groups.
• Care Delivery – Ensure safe nursing care, triage calls, facilitate team huddles, collaborate with community resources.
• Quality & Compliance – Collect/report patient data; participate in team conferences; engage in quality improvement initiatives.

Skills

Excellent interpersonal skills

Electronic Medical Record

Education

AAS in Nursing

BS in Nursing

Tools

Electronic Medical Record

Job description

Job Title: Care Coordinator RN (Per Diem) - Massena, NY
Department: Behavioral Health
Location: Floating among Behavioral Health locations in Massena, Potsdam and Gouverneur, NY
Hours Per Week: 0
Schedule: Monday-Saturday 8am-4:30pm, 9am-5pm, or 8am-6pm

SUMMARY:

The Care Coordinator works in collaboration and continuous partnership with chronically ill or “high-risk” patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach. Facilitates “shared goal model” within and across settings to achieve coordinated high-quality care that is patient and family centered that address. Acts as a liaison between patients and the healthcare system. Ensures that patients receive the care they need and that they understand their medical condition, medications, and other instructions. Coordination of patient-care services to help reduce costs by reducing duplication of services.

RESPONSIBILITIES:

• Care Coordination – Identify patients’ needs, create and adjust individualized evidence-based care plans, educate patients, address barriers to outcomes, and coordinate with community and regional health services.
• Patient Education & Support – Provide tailored education on self-management, diet, medications, and tests; support high-risk patients; and lead patient support groups or shared medical appointments.
• Care Delivery – Ensure safe and effective nursing care, triage patient calls, facilitate team huddles, and collaborate with community resources to extend patient care.
• Quality & Compliance – Collect and report patient data, participate in team/educational conferences, and engage in performance and continuous quality improvement initiatives.

REQUIRED QUALIFICATIONS:

• AAS in Nursing
• Valid NYS RN License

PREFERRED QUALIFICATIONS

• BS in Nursing
• 3-5 years’ experience in clinical or community resource settings; Care coordination and/or case management experience is desirable
• Experience in working in partnership with the interdisciplinary healthcare team
• Excellent interpersonal skills (strong written and verbal communication skills)
• Experience utilizing an Electronic Medical Record
• Demonstrate ability to apply decisive, sound, objective clinical judgment for cases with varying complexity

PHYSICAL REQUIREMENTS: Light - Clinical - Light clinical roles involve frequent standing and walking, with occasional lifting of light objects (≤20 lbs.) and routine reaching, grasping, and fine manipulation for tasks such as patient care, laboratory work, or specimen processing. Staff rely on strong visual and auditory acuity to accurately observe specimens, read instrumentation, monitor patients, respond to alarms, and communicate effectively with care teams. Cognitive demands include multitasking, prioritizing clinical and laboratory workflows, and coordinating with interdisciplinary teams. Emotional resilience is necessary due to frequent interruptions, shifting priorities, and the need for precise and compassionate interaction with patients and colleagues. Environmental exposures may include infectious materials, biological specimens, cleaning agents, sharps, chemical reagents, and wet surfaces. PPE use, TB testing, and schedule flexibility are commonly required.

PAY RANGE: $30.00 - $52.88