RN Care Coordinator

Description:

What We're Looking For

Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as an RN Care Coordinator. In this role, you'll play a vital part in providing efficient delivery of coordinated care in an ambulatory, primary care clinic setting to defined patient populations through collaboration with the patients, their family/caregivers, providers (internal and external), insurers, and Third Street staff. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities.

Essential Job Duties:

• Provides care coordination and support for patients with chronic or high-risk health conditions (e.g., diabetes, COPD, CHF, prenatal, substance use disorder, homelessness).
• Collaborates with primary care providers and the care team to develop and implement individualized treatment and self-management plans.
• Monitors patient progress toward established health goals and adjusts care plans as needed.
• Connects patients with community resources and coordinates referrals to ensure continuity of care.
• Conducts holistic assessments and patient education to promote engagement in health management.
• Utilizes data and care gap reports to identify at-risk patients and improve overall care outcomes.

What We Offer

Attending to your needs today:

• Your ideas, input, and contributions are valued and recognized.
• Excellent clinical, administrative, and management support.
• Forward-thinking, collaborative, transparent, and inclusive company culture.
• Employee Assistance Program.
• Competitive Medical, Dental, and Vision plans.
• Competitive Market Value Compensation.
• Generous Paid Time Off.
• Tuition assistance.

Protecting your future:

• Medical, dental and vision insurance
• 403(b) retirement plan with match
• Employer-paid life insurance
• Employer-paid long-term disability

Third Street is an equal opportunity employer. Our goal is to be a diverse workforce that is representative, at all job levels, of the communities and patients we serve. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. If you require reasonable accommodation in completing this application, please direct your inquiries to [email protected] or call 419-522-6191 ext. 2201

Qualifications:

• Valid driver’s license and reliable transportation
• Current life support certification or ability and willingness to obtain within 90 days of hire
• Active, unrestricted license as a Registered Nurse (RN)
• 3 Years in a nursing related role
• Knowledge of clinical information systems/software processes, care planning processes, utilization of quality data, regulatory standards, and patient assessment.
• Bachlor's or Master's degree in Nursing preferred.
• Background in Population Health preferred.
• Experience in health care management preferred
• Experience utilizing a electronic health record system

About Us:

Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices.

Organizational Information:

• Established in 1994, Third Street Family Health Services is a regional not-for-profit community health center providing medical, dental, OB/GYN, pediatric, community outreach, and behavioral health services across eleven locations in Richland, Marion, Ashland, and Crawford counties. Our mission is to deliver comprehensive health and wellness care, accessible to all in the communities we serve. We believe that the health status of our community can be improved by providing accessible and affordable health care, advocacy, and community health initiatives.
• We provide patient-centered care and provide our services with respect, integrity, and accountability top of mind. For more information, visit tsfhs.org or find them on Facebook or Twitter.

Mission:

To deliver comprehensive health and wellness care, accessible to all in the communities we serve.