Registered Nurse Care Coordination Primary Care

Mount Nittany Physician Group; Bellefonte (Centre County); On-site; USD 60,000 - 80,000; Full time

Job summary

Mount Nittany Physician Group in Bellefonte, Pennsylvania is seeking a Registered Nurse who plays a crucial role in patient care coordination. The RN will collaborate within an interdisciplinary team, focusing on delivering education and support throughout the primary care continuum.

The ideal candidate holds an accredited nursing degree, has at least two years of experience in a physician group practice, and is licensed in Pennsylvania. Strong critical thinking and effective communication skills are essential. This position offers an opportunity to significantly impact patient lives through comprehensive care management.

Qualifications

• Licensed as a Registered Nurse in the State of Pennsylvania.
• Two years’ experience working in a physician group practice preferred.
• Meets the American Heart Association’s standards for Healthcare Provider Basic Life Support (BLS).

Responsibilities

• Deliver comprehensive care coordination and patient education.
• Triage clinical concerns and support chronic disease management.
• Facilitate care transitions through various interactions.

Skills

Critical thinking skills

Effective communication

Self-initiative

Organizational skills

Education

Completion of an accredited registered nurse program

Job description

POSITION SUMMARY

Serves in an expanded nursing role as part of an interdisciplinary team, delivering comprehensive care coordination, patient education, and nursing support across the primary care continuum. Responsibilities include triaging clinical concerns, supporting chronic disease management, and facilitating smooth care transitions through phone, patient portal, and in-person interactions. This RN assesses patient needs to determine the appropriate level of care and ensures timely access to services and resources. This role is central to care team communication, patient advocacy, and alignment with evidence-based practices. Additionally, the RN performs Medicare Annual Wellness Visits in collaboration with providers, supporting preventive health efforts and individualized care planning.

MINIMUM REQUIREMENTS

Education

1. Completion of an accredited registered nurse program required.

Experience

1. Two years’ experience working in a physician group practice preferred.

Knowledge, Skills, Abilities

1. High self-initiative with the ability to work well under pressure and with minimal supervision.
2. Conducts business in a professional and cordial manner that upholds the integrity and reputation of Mount Nittany Health System.
3. Strong critical thinking skills with the ability to prioritize patient needs and make sound decisions.
4. Communicates effectively and collaboratively with patients, families, and interdisciplinary teams.
5. Highly organized and uses time efficiently and effectively.

License/Certification/Registration

1. Licensed as a Registered Nurse in the State of Pennsylvania.
2. Meets the American Heart Association’s standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.

SUPERVISION RECEIVED

Receives general supervision from the Department Supervisor and Manager

SUPERVISION GIVEN

None