RN - Registered Nurse - Care Coordinator

Witham Health Services; Lebanon (IN); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Witham Health Services in Lebanon, IN seeks an RN - Care Coordinator to lead coordinated care across settings, partnering with patients, families and physicians to achieve high-quality, patient-centered outcomes.

This role emphasizes education, communication, and collaboration, including leveraging health IT and community resources to support chronic disease management and transitions in care.

Qualifications

• Graduate from an accredited nursing program; BSN preferred.
• Valid Indiana nursing license.
• 3–5 years in clinical or community health settings.
• Care coordination and/or case management experience preferred.
• Demonstrates leadership, communication, education, and counseling skills.
• Proficient with email and cell phone communication.
• Strong organizational skills; maintains accurate notes and records.
• Experience with health IT systems and data reports preferred.
• Experience mobilizing community resources and working with diverse populations preferred.
• Spanish language ability preferred.
• Patient/family centered care approach; HIPAA aware.

Responsibilities

• Provide a coordinated strategic approach to detect early and manage chronic disease; establish an internal tracking system.
• Coach patients/families toward successful self-management of their chronic disease.
• Collaborate with patient/family toward an effective care plan; assess unmet health and social needs; improve health literacy.
• Develop mutual goals with the patient, family, and providers (emergency plan, medical summary, ongoing action plan).
• Monitor adherence to care plans and adjust as needed; track progress in a timely manner.
• Create ongoing processes for patients and families to determine the level of care coordination support.
• Promote healthy behaviors and navigation to community resources.
• Facilitate access to medical and specialty providers and other care coordination team members.
• Coordinate with primary care and subspecialty teams; manage transitions-in-care and referrals.
• Serve as contact-point, advocate, and information resource for patient and family; ensure confidentiality.
• Track test results, medication management, and follow-up adherence; prevent errors.
• Attend care coordination trainings; provide feedback for program improvement.
• All other duties as assigned.

Skills

Leadership

Communication

Counseling

Patient advocacy

Health IT

Data reporting

Care coordination

Community resources

Spanish language

Education

BSN preferred

Indiana RN license

Tools

EHR systems

Care coordination software

Job description

RN - Registered Nurse - Care Coordinator

Job Category: Registered Nurse

Requisition Number: RNREG001774

• Posted : August 21, 2026
• Full-Time

Locations

Showing 1 location

Lebanon, IN 46052, USA

Description

• Department:
• Schedule:
• Hospital: Witham Health Services

Job Summary

The Care Coordinator coordinates team based care to provide health services to individuals, families and/or their communities through effective partnerships with patients, their caregivers and their physician. Facilitates a shared goal model within and across settings to achieve coordinated high quality care that is patient/family centered.

Minimum Qualifications/Requirements

• Graduate from an accredited school of nursing program; BSN preferred.
• Valid license to practice Nursing in the State of Indiana.
• 3-5 years' experience in clinical or community health settings.
• Previous Care Coordination and/or Case Management experience preferred.
• Demonstrates evidence of essential leadership, communication, education, and counseling skills.
• Proficient in communication technologies (email, cell phone, etc.).
• Effective organizational skills, demonstrates ability to maintain accurate notes and records.
• Previous experience with health IT systems and data reports preferred.
• Previous experience with mobilizing community resources, navigating through the healthcare continuum and working with disparate populations preferred.
• Ability to speak Spanish as a second language preferred.
• Core values consistent with a patient/family centered approach to care.
• Demonstrates professional, appropriate, effective written, verbal and nonverbal communication skills.
• Demonstrates a positive attitude and respectful, professional customer service.
• Acknowledges patient's rights on confidentiality issues, maintains patient confidentiality at all times, and adheres to HIPAA guidelines and regulations.
• Proactively acts as patient advocate, responding with empathy and respect to resolve patient/family concerns. Recognizes opportunities for improvement to meeting patient concerns.
• Demonstrates continual learning skills, effects changes in approach to care based on established evidence based practice.
• Demonstrates professional practice behavior, provides mentoring/coaching of other population health/care coordination team members.
• Cultivates effective partnerships and collaboration with physician providers.
• Demonstrates understanding of use of I.T. resources and patient databases to promote successful/appropriate provider encounters.
• Demonstrates effective delegation skills to streamline operational workflows and optimize inter-office resources.

Duties and Responsibilities

• Provide a coordinated strategic approach to detect early and manage effectively the patient with chronic disease. Establish an effective internal tracking system for identified patients.
• Coach patients/families toward successful self-management of their chronic disease.
• Utilizing tools and documents that support a guided care process, collaborate with patient/family toward an effective plan of care.
  • Assess patient and family's unmet health and social needs.
  • Provide effective communications to improve health literacy
  • Develop a care plan based on mutual goals with the patient, family, and providers (emergency plan, medical summary, and ongoing action plan, as appropriate).
  • Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely way, and facilitate changes as needed.
  • Create ongoing processes for patients and families to determine and request the level of care coordination support they desire at any given point in time.
• Promote healthy behaviors in all populations and ensure navigation assistance with community resources.
• Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support specialists (e.g. Diabetes Educator).
• Cultivate and support primary care and subspecialty co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals.
• Serve as the contact-point, advocate, and informational resource for patient, family, care team, payers, and community resources.
• Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.
• Develop systems to prevent errors (e.g. effective medication reconciliation and shared medical records)
• Facilitate and attend meetings between patient, family, care team, payers, and community resources, as needed.
• Attend all Care Coordination related training and meeting activities.
• Provide feedback for the improvement of the Care Coordination Program.
• All other duties as assigned.

Equal Opportunity Employer
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