Inpatient Nursing Care Coordinator
Massachusetts Health & Hospital Association · Cambridge, MA · 3 wk ago
On-siteOTHRFull-time
About the role
Care Coordinator supporting hospitalized high-risk patients with complex medical and psychosocial needs in an inpatient oncology setting.
Responsibilities
- Serve as the primary non-clinical contact, assisting patients and families in navigating healthcare systems, coordinating appointments, referrals, and follow-up care across various providers.
- Identify and address social determinants of health, connecting patients to internal and external resources to overcome non-medical barriers such as transportation, housing, and food insecurity.
- Collaborate with an interdisciplinary team to develop and support individualized care plans, ensuring alignment with patient goals and preferences.
- Provide education reinforcement on appointments, medications, and self-management using culturally responsive communication.
- Advocate for patients by elevating concerns, clarifying care plans, and ensuring patient values are incorporated.
- Maintain accurate documentation within electronic health records and utilize data for performance improvement and panel management.
Qualifications & Skills
- Associate’s Degree in Nursing (Bachelor’s preferred)
- Current RN license
- BLS certification
- Experience in care coordination, population health, or community health
- Strong communication, organizational, advocacy, and teamwork skills
- Proficiency in electronic health records
- Understanding of social determinants of health
- Experience working with individuals with complex needs
- Prior experience in managed care or hospital-based care coordination preferred
- Relevant certifications such as OCN or CCM are a plus