Job Summary

The Care Coordinator works in partnership with chronically ill or "high-risk" patients, their families, healthcare providers, and community organizations. Using a collaborative team approach, this role focuses on improving patient well-being, enhancing patient satisfaction, and reducing overall healthcare costs.

Essential Responsibilities: 

The following duties are not intended to serve as a comprehensive list of all duties performed by all associates in this position.  The duties listed are intended to provide a representative summary of the major duties and responsibilities.  The incumbent may be required to perform additional, position-specific duties as assigned by their manager and/or LRHC Leadership.

Essential Responsibilities:

• Care Planning & Access: Create, implement, and promote adherence to individualized care plans built alongside patients, families, and primary care providers. Ensure timely access to appropriate healthcare services.
• Patient Education & Support: Deliver culturally and linguistically appropriate education regarding health, diseases, and medication management (following standing orders/protocols). Support patient self-management and behavior modifications.
• Community & Resource Connection: Link patients and caregivers to relevant community resources to support external health and social needs.
• Preventive Care & Outcomes: Increase the utilization of preventive services to proactively reduce emergency room visits and hospital readmissions.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or competency required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. 

• Education: Associate or bachelor’s degree in nursing (RN/LPN).
• Licensure: Active, unrestricted RN license.
• Experience: Minimum of 2–3 years of clinical or case management experience, preferably in an outpatient clinic, home health, or community health setting.
• Communication: Exceptional verbal and written communication skills, with an ability to simplify complex medical information for patients.

Language Skills:

Bilingual English/Spanish preferred

Skills and Competencies:

• Case Management: Experience coordinating care for complex, chronic, or high-risk patient populations.

• Patient Advocacy: Strong interpersonal skills to build trust with diverse patients, families, and multi-disciplinary medical teams.

• Cultural Competency: Ability to deliver health education that is culturally and linguistically appropriate.

• Clinical Knowledge: Solid understanding of disease management, preventative health practices, and medication protocols.

• Resource Navigation: Familiarity with local community resources, social determinants of health (SDOH), and social services.