Remote RN Patient Care Coordinator – Hybrid

Jane Pauley Community Health Center, Inc.; Indianapolis (IN); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Jane Pauley Community Health Center, Inc. is seeking an RN Patient Care Coordinator to join the practice care team.

Working under the Regional Nurse Administrator, you will support health promotion, disease prevention, patient education, and care coordination in a hybrid remote role with occasional in-office reporting. You will perform telephone triage, advocate for patients, coordinate with primary and specialty providers, and maintain timely EMR documentation while upholding HIPAA and nursing

Qualifications

• Graduation from accredited Nursing Program – ADN required; BSN preferred
• Current, unrestricted Registered Nurse license in the State of Indiana or a valid multistate (compact) license recognized in Indiana.
• Current Basic Life Support (BLS) certification through AHA
• Minimum of 1 year nursing experience in triage, acute care, ambulatory care, case management, or insurance setting.
• At least two years of experience in chronic disease management, case management, utilization management, or adult acute care.
• Experience with telephone triage and transitions of care management
• Experience in, or working knowledge of the Patient-Centered Medical Home model
• Experience with quality measures such as Healthcare Effectiveness Data and Information Set (HEDIS) and Uniform Data System (UDS)
• Certification in ambulatory care nursing or case management

Responsibilities

• Serves as a patient advocate, helping patients navigate the healthcare system.
• Provides patient education tailored to the needs of the patient using evidence-based practices and approved resources.
• Empowers patients to be actively engaged in their healthcare and supports patient self-management of disease using behavior modification interventions.
• Coordinates continuity of care between primary care and specialty providers.
• Conducts telephonic outreach to patients with recent hospitalizations or emergency department visits to ensure continuity of care, reduce re-admissions, and prevent avoidable hospital stays.
• Conducts telephone triage within scope of licensure using age-appropriate clinical assessment and approved protocols.
• Partners with providers, clinical support staff, and pharmacies to manage refill requests per established protocols and resolve prior authorization barriers, keeping patients on track with their treatment plans.
• Maintains accurate, complete, and timely EMR documentation of patient encounters, calls, and outreach attempts in accordance with the nursing process and organizational standards.

Skills

Patient advocacy

Care coordination

Telephone triage

EMR documentation

Clinical assessment

HIPAA compliance

Interprofessional collaboration

Education

ADN required

BSN preferred

Indiana RN license

BLS certification

Tools

EMR systems

Microsoft Office

Job description

Jane Pauley Community Health Center, Inc. is seeking an RN Patient Care Coordinator to join the practice care team.

Working under the Regional Nurse Administrator, you will support health promotion, disease prevention, patient education, and care coordination in a hybrid remote role with occasional in-office reporting. You will perform telephone triage, advocate for patients, coordinate with primary and specialty providers, and maintain timely EMR documentation while upholding HIPAA and nursing