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RN Care Coordinator - Chronic Disease Management

Agency, IA
$63,899 - $88,009 a year

Start date:

01 Feb 2026

Job Type:

Full Time

Job Details

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.

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