RN Care Coordinator - Neurology

ccf; United States; On-site; USD 70,000 - 95,000; Part time

Job summary

Cleveland Clinic Fairview Hospital is seeking an RN Care Coordinator in Neurology to collaborate with a multidisciplinary team for high‑risk patients. The role focuses on outreach, education, and ensuring seamless care across the continuum.

Part‑time schedule with day shifts (8:00am‑4:30pm or 8:30am‑5:00pm), no weekends or on‑call requirements. You will support transitions of care and coordinate with specialty and primary care teams to promote optimal outcomes.

Qualifications

• Graduate from an accredited school of Professional Nursing.
• Current state RN licensure.
• BLS certification from AHA or ARC.
• Three to five years of nursing experience.

Responsibilities

• Identify patients with ongoing care coordination needs and plan involvement with the care team.
• Conduct targeted outreach to high‑risk patients to ensure timely care delivery.
• Use registries, patient lists, and care team tools to manage populations and assess needs.
• Educate patients and families about care coordination and proposed plans.
• Assist in managing transitions of care across settings and remove barriers to care.

Skills

Care coordination

Multidisciplinary collaboration

Patient outreach

Education

RN licensure

BSN (preferred)

Job description

Job Title

RN Care Coordinator - Neurology

Location

Cleveland

Facility

Fairview Hospital

Department

Fairview Neuro-Fairview Hospital

Job Code

F99952

Shift

Days

Schedule

8:00am-4:30pm/8:30am-5:00pm

Job Summary

Job Details

Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. On our team, you will provide stellar care at one of the top healthcare organizations in the nation.

As a Care Coordinator you will work collaboratively with multidisciplinary team staff across the continuum of care for high-risk patients. You will focus on patient outreach and ensuring they receive the assistance and treatment they need to promote wellness and optimal outcomes. In this position, you not only have the chance to make a meaningful difference in your community but also the opportunity to develop an exciting career in healthcare.

This is a part time position. A caregiver in this position works 8:00am to 4:30pm or 8:30am to 5:00pm 2 days one week and 3 days the next. No weekends, holidays or on-call requirements. The days worked are not set, so you would need to be flexible with your schedule.

A caregiver who excels in this role will:

• Identify which patients have ongoing care coordination needs and outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator.
• Conduct targeted outreach to a defined panel of high-risk patients (chronic illness, lack of social support, readmissions, ED visits, surgical episodes, etc.) to ensure timely and efficient care delivery across the continuum of care.
• Utilize technological tools (registries, patient lists, care team tab, etc.) to manage populations and conduct comprehensive clinical assessments, including disease-specific, age-specific, medical, behavioral pharmacy, social and end of life needs of each patient.
• Inform the patient and family regarding coordination of their care, share information with the healthcare team and collaborate with interdisciplinary team to develop goals and plan interventions to maximize patient outcomes.
• Perform reassessments of patient progress toward goals and update plan of care as appropriate.
• Ensure care gaps are closed around specialty disease/chronic disease/surgical episodes.
• Serve as primary patient contact for team and the liaison between patients, families, physicians and clinical staff by advocating for patients and families.
• Assist in managing transitions of care across settings, ensuring optimal communication and planning, and identify barriers to receiving care and facilitates solutions.
• Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others.
• Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.
• Work with the patient and family to assess current knowledge, health literacy and readiness to change, utilizing teach back to assess level of knowledge.
• Coach patients and family on self-management support; including setting long- and short-term goals.
• Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks.

Minimum qualifications for the ideal future caregiver include:

• Graduate form an accredited school of Professional Nursing
• Current state licensure as a Registered Nurse (RN)
• Basic Life Support (BLS) Certification through the American Heart Association (AHA) Or the American Red Cross
• Three to five years of nursing experience

Preferred qualifications for the ideal future caregiver include:

• Bachelor's of Science in Nursing (BSN)
• Direct patient care experience

Physical Requirements:

Requires full range of motion, manual and finger dexterity and eye-hand coordination.

Requires corrected hearing and vision to normal range.

May requires some exposure to communicable diseases or bodily fluids.

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of