RN Patient Care Coordinator — Hybrid/Remote

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

Benefits offered by this job

Medical, dental, vision benefits

Generous PTO

401(k) with employer contribution

Life and disability coverage

Job summary

Jane Pauley Community Health Center in Anderson, IN is seeking a Patient Care Coordinator (RN) to join our practice. You will work with providers, staff and external partners to coordinate care transitions, support chronic disease management, and improve patient outcomes in a hybrid-remote role.

You must be an RN with eligible licensure, BLS, and experience in ambulatory or acute care; you will mentor staff, participate in quality improvement, and advocate for patients while navigating the

Qualifications

• Current state licensure as a Registered Nurse (RN) required.
• Graduation from an accredited nursing program required.
• Basic Life Support (BLS) certification through AHA required.
• Experience in ambulatory, triage, or acute care setting preferred.
• Experience with PCMH initiatives preferred.

Responsibilities

• Serve as a patient advocate, helping patients navigate the healthcare system.
• Provide patient education using evidence-based practice and JPCHC-approved resources.
• Support patient self-care management of disease and behavior modification interventions.
• Coordinate continuity of care between primary and specialty providers, hospitals, ERs, and JPCHC teams.
• Conduct telephonic outreach to patients post-hospitalization, discharge, or ER visit.
• Manage care transitions for high-risk patients, ensuring timely follow-up appointments.
• Perform phone triage, medication refills, and prior authorizations within scope of licensure.
• Document all patient interactions accurately and consistently in the EMR.
• Participate in quality improvement (QI) initiatives and provide feedback on clinical best practices.
• Monitor closure of care gaps, quality metrics, overdue labs, and abnormal results.
• Perform proactive outreach to patients due for preventive screenings.
• Support pre-visit planning with providers and staff.
• Assist with data collection, outcomes reporting, clinical audits, and program evaluation related to PCMH and Medical Neighborhood initiatives.
• Serve as a nurse preceptor for newly hired clinical staff or nursing students.

Skills

Critical thinking

Communication skills

Organizational skills

Education

RN licensure

Nursing program graduation

Job description

Jane Pauley Community Health Center in Anderson, IN is seeking a Patient Care Coordinator (RN) to join our practice. You will work with providers, staff and external partners to coordinate care transitions, support chronic disease management, and improve patient outcomes in a hybrid-remote role.

You must be an RN with eligible licensure, BLS, and experience in ambulatory or acute care; you will mentor staff, participate in quality improvement, and advocate for patients while navigating the