Hybrid RN: Disease Management Coordinator (Remote/Clinic)

WVU Medicine; Core (WV); Hybrid; USD 68,000 - 90,000; Full time

Job summary

West Virginia University Health System in Morgantown is seeking a Disease Management Coordinator to collaborate with patients and providers to optimize health status and ensure efficient, cost‑effective care. The role emphasizes care coordination across the continuum, discharge planning, and data‑driven performance improvement, with a hybrid work arrangement including remote days and clinic-based duties.

Applicants must be a registered nurse with the required experience; the position offers

Qualifications

• RN license in the state of service (or multi-state eNLC).
• Minimum: ADN with 7 years clinical experience or BSN with 5 years.
• Background check (state and federal as required).
• BLS certification within 30 days of hire.

Responsibilities

• Ambulatory utilization management and quality screening for assigned patients.
• Identify the target population and risk stratify patients to prioritize needs.
• Coordinate discharge planning with inpatient/outpatient case management.
• Collaborate with physicians, patients, and families for safe transitions of care.
• Design individualized care plans with the healthcare team.
• Coordinate labs and diagnostics testing and monitor results.
• Monitor clinical and financial indicators to drive improvements.

Job description

West Virginia University Health System in Morgantown is seeking a Disease Management Coordinator to collaborate with patients and providers to optimize health status and ensure efficient, cost‑effective care. The role emphasizes care coordination across the continuum, discharge planning, and data‑driven performance improvement, with a hybrid work arrangement including remote days and clinic-based duties.

Applicants must be a registered nurse with the required experience; the position offers