RN Care Navigator for High-Risk Patients

South Side Healthy Community Organization; Chicago (IL); On-site; USD 75,000 - 95,000; Full time

Job summary

South Side Healthy Community Organization is seeking an RN Care Coordinator to manage care for high-risk patients across the Chicagoland area. You will coordinate services, develop personalized care plans, and collaborate with physicians, LPNs, social workers, and community partners to improve outcomes.

Responsibilities include risk assessments, clear communication of care plans, transition of care, and contributing to quality initiatives.

Qualifications

• Willing to travel across the Chicagoland area including home visits, clinics and partner sites.
• Current IL RN license and CPR certification required.
• Vaccinations up to date (influenza and COVID-19) before start date.
• Strong knowledge of care coordination principles and excellent communication and organizational skills.
• Proficiency with EMR systems (Athena, Epic, Cerner) and Microsoft Office (Excel, Teams, Outlook).
• Able to thrive in a collaborative team while also working independently with minimal supervision.

Responsibilities

• Identify, track, and manage a caseload of high-risk patients.
• Conduct screenings and risk assessments to develop individualized care plans with mutual goals.
• Collaborate with multidisciplinary team and community partners to coordinate care.
• Advocate for patients and provide health coaching to promote self-management.
• Communicate care plans clearly to all care team members and families.

Skills

Willing to travel Chicagoland

Excellent communication

Collaborative team player

Time management

Organizational skills

Independent work

Education

Registered Nurse license IL

CPR certification

Tools

Athena EMR

Epic EMR

Cerner EMR

Microsoft Excel

Microsoft Teams

Outlook

Job description

South Side Healthy Community Organization is seeking an RN Care Coordinator to manage care for high-risk patients across the Chicagoland area. You will coordinate services, develop personalized care plans, and collaborate with physicians, LPNs, social workers, and community partners to improve outcomes.

Responsibilities include risk assessments, clear communication of care plans, transition of care, and contributing to quality initiatives.