RN Care Coordinator - Fairmont

Windom Area Health; Fairmont (MN); On-site; USD 43,000 - 65,000; Full time

Job summary

Windom Area Health is seeking an RN Care Coordinator to join our clinic care team. The role focuses on coordinating care across the continuum, supporting daily nursing operations, and promoting quality outcomes through proactive care management and population health initiatives.

You will work with providers, patients, families, and community resources to ensure coordinated, patient-centered care. Responsibilities include telephone triage, result management, patient follow-up, care gap outreach,

Qualifications

• ADN required; BSN preferred.
• Minimum 2 years nursing experience.
• RN license in Minnesota with BLS certification.

Responsibilities

• Provide care management for patients with chronic conditions.
• Utilize EHR reports and population health tools to identify gaps.
• Support primary care nursing needs for efficient clinic operations.
• Collaborate with providers and community partners to coordinate care.

Skills

Telephone triage

Clinical decision-making

Patient education

Communication skills

Care coordination

Time management

Population health

Education

ADN

BSN preferred

Tools

EPIC

Care coordination tools

Patient communication platforms

Job description

Description

The RN Care Coordinator serves as a key member of the clinic care team, responsible for coordinating care across the continuum while supporting daily clinic nursing operations. This position promotes quality outcomes through proactive care management, chronic disease management, transitional care management, patient education, and population health initiatives. The RN Care Coordinator works collaboratively with providers, patients, families, specialists, community resources, and healthcare partners to ensure coordinated, patient-centered care.

In addition to care coordination responsibilities, the RN Care Coordinator supports primary care clinic operations through telephone triage, result management, patient follow-up, care gap outreach, and clinical support activities that improve access, patient satisfaction, and continuity of care.

Requirements

Graduate of an accredited school of nursing (Associate Degree in Nursing (ADN) required, Bachelor of Science in Nursing (BSN) preferred). A minimum of 2-years of nursing experience required, preferably in a primary care setting.

REQUIRED CREDENTIALS (License, certification, registration):

Current Registered Nurse (RN) license in the State of Minnesota. Current Basic Life Support (BLS) certification required.

KNOWLEDGE/SKILLS/ABILITIES:

• Strong knowledge of primary care clinical practices and population health principles.
• Knowledge of EPIC, care coordination tools, and patient communication platforms.
• Strong telephone triage and clinical decision-making skills.
• Knowledge of chronic disease management and care coordination strategies.
• Excellent communication, patient education, and interpersonal skills.
• Ability to build productive relationships with patients, families, providers, and community resources.
• Strong organizational, time-management, and prioritization abilities.
• Ability to manage multiple responsibilities in a fast-paced clinic environment.
• Knowledge of quality metrics, preventive care guidelines, and value-based care initiatives.

ESSENTIAL JOB RESPONSIBILITY AREAS AND FUNCTIONS

1. Provide care management and ongoing support for patients with identified priority conditions, such as diabetes, hypertension, heart failure, COPD, asthma, obesity, and other chronic illnesses, to improve patient outcomes and the health of the community.
2. Utilize electronic health record reports, registries, and population health tools to identify patients due for preventive care and chronic disease monitoring.
3. Perform primary care nursing needs to support an efficient and care-centered clinic.
4. Collaborate effectively with physicians, advanced practice providers, nurses, social workers, pharmacists, behavioral health professionals, and community partners.

Wage range: $31.39 - $47.09 per hour

EMPLOYMENT VARIABLES:

Typical daytime clinic hours with occasional evening/weekend commitments for service promotion.