RN Care Coordinator - Chronic Disease Management

RN Care Coordinator - Chronic Disease Management Agency, IA $63,899 - $88,009 a year Full Time We are seeking a compassionate and skilled Registered Nurse (RN) Care Coordinator to join a dedicated healthcare team serving the Midwest region. This role focuses on delivering comprehensive, patient-centered care to individuals managing multiple chronic and preventive health conditions. Key Responsibilities Provide holistic support and counseling to patients, addressing barriers to care and promoting medication adherence, healthy lifestyle choices, and self-management strategies. Monitor high-risk patients through monthly outcome reports, collaborating with providers to ensure appropriate follow-up and care adjustments. Conduct nursing assessments and medical triage for acute issues and medication side effects, referring or monitoring as needed. Educate patients, families, staff, and community partners on chronic disease management and preventive screenings in an organized and effective manner. Serve as a liaison to connect patients with community support services, financial assistance, and entitlement resources. Manage referrals and follow-up for specialty medical, mental health, substance abuse, and community services. Utilize electronic medical records in compliance with established guidelines and maintain accurate documentation of billable procedures. Collaborate as an interdisciplinary team member to ensure high-quality care delivery. Perform direct nursing interventions such as venipuncture, wound care, and vaccinations as required. Maintain confidentiality and adhere to all regulatory and compliance standards, including HIPAA. Education and Experience Graduate of an accredited nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) authorized to practice in the region. Minimum of three years clinical experience as an RN or LPN, with at least two years in a similar care coordination role preferred. Current Basic Life Support (BLS) certification by the American Heart Association. Requirements Strong computer skills with the ability to learn new systems quickly. Completion of Mandatory Reporter training within six months of hire. Commitment to ongoing education and compliance with federal, state, and professional licensure standards. Excellent organizational, communication, and problem-solving skills. Ability to maintain confidentiality and work cooperatively with patients, staff, and community partners. Physical ability to perform nursing duties and maintain regular attendance. This position offers an opportunity to make a meaningful impact on patient health outcomes through dedicated care coordination in a supportive and collaborative environment.