RN Care Navigator - Flexible Scheduling & Chronic Care

Hchcares; New Castle (IN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Continuing education scholarships

Generous paid days off

Employer funded pension

Job summary

The RN Care Coordinator at Hchcares will collaborate with providers, moderate-high risk patients, and the primary care team to assess change readiness and develop patient-centered care plans for chronic conditions measured by clinical indicators.

You will guide patients through the health care system, coordinating across settings to achieve coordinated, high-quality, patient-centered care and to cultivate relationships with health care providers through a shared goal model.

Qualifications

• Current Indiana RN licensure required.
• BSN and 2+ years of experience preferred.
• CCM certification preferred.

Responsibilities

• Involve high risk individuals in activities to improve health and partner with care team to set goals and steps.
• Provide a coordinated strategic approach to detect early and manage chronic disease.
• Coach patients/families toward self-management of chronic conditions.
• Create/update personalized care plans for patients.
• Facilitate access to medical and specialty providers and support staff.
• Support co-management with communication and referrals across settings.
• Serve as contact point for patient, family, care team, payers and community resources; track tests, meds, adherence.
• Link patients to social services and transportation/interpretation services.
• Conduct regular follow-ups to evaluate progress and health outcomes.

Skills

Communication skills

Leadership

Counseling

Organizational skills

Travel locally

Education

BSN

Indiana RN licensure

CCM (certified case manager)

Job description

The RN Care Coordinator at Hchcares will collaborate with providers, moderate-high risk patients, and the primary care team to assess change readiness and develop patient-centered care plans for chronic conditions measured by clinical indicators.

You will guide patients through the health care system, coordinating across settings to achieve coordinated, high-quality, patient-centered care and to cultivate relationships with health care providers through a shared goal model.