Registered Nurse Care Coordination Primary Care

POSITION SUMMARY

Serves in an expanded nursing role as part of an interdisciplinary team, delivering comprehensive care coordination, patient education, and nursing support across the primary care continuum. Responsibilities include triaging clinical concerns, supporting chronic disease management, and facilitating smooth care transitions through phone, patient portal, and in-person interactions. This RN assesses patient needs to determine the appropriate level of care and ensures timely access to services and resources.

This role is central to care team communication, patient advocacy, and alignment with evidence-based practices. Additionally, the RN performs Medicare Annual Wellness Visits in collaboration with providers, supporting preventive health efforts and individualized care planning.

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Experience:

Knowledge, Skills, Abilities:

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Receives general supervision from the Department Supervisor and Manager

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