RN Care Coordinator

About the role

We’re seeking a dedicated Full-Time RN Care Coordinator to join our caring and mission-driven community. The RN Care Coordinator works closely with residents, families, and healthcare providers to coordinate care, provide education, and connect residents with resources that support healthy, independent living.

Responsibilities

• Develop and implement the community's Care Coordination program, integrating best practices from hospital-based navigation models.
• Identify and engage high-risk residents, serving as the primary clinical resource for Residential Living.
• Create individualized care plans in collaboration with physicians and the healthcare team.
• Conduct post-hospital and emergency room follow-ups, including review of discharge instructions, appointment scheduling, and medication reconciliation.
• Provide basic clinical services such as blood pressure checks, dressing changes, and glucose monitoring; address resident questions and concerns.
• Serve as liaison between residents and healthcare providers, including specialists such as dermatologists, neurologists, and podiatrists.
• Guide residents and families through the healthcare system and connect them with community resources and support services.
• Advocate for residents and families to ensure access to appropriate care and services.
• Respond to emergency alerts within the community and follow up with residents who are unwell.
• Conduct comprehensive nursing assessments to identify needs and support disease self-management.
• Participate in interdisciplinary care planning meetings and contribute to goal setting with residents and families.
• Track and document all resident interactions, outcomes, and quality metrics.
• Coordinate regularly with hospital navigation and community health teams.
• May serve as the Employee Wellness Nurse, coordinating pre-employment physical and drug test results, managing employee health records, administering workers' compensation processes, and organizing annual flu shot clinics for employees and residents.
• Participate in continuing education and serve on internal and external committees as needed.
• Perform additional duties as assigned.

Requirements

• Graduate of an accredited nursing program with an RN degree; BSN preferred.
• Current, active Registered Nurse license in the State of Maryland.
• Advanced nursing certifications are a plus.
• Minimum of 2 years of RN experience in acute care, long-term care, or community outpatient settings; experience in long-term care or assisted living preferred.
• Healthcare Provider CPR certification required.

Benefits

• Competitive wages
• Health, dental, and vision insurance
• Paid short-term and long-term disability and life insurance
• Generous contributions to a 403(b) retirement plan
• Paid Time Off (PTO)
• Paid professional development opportunities
• Scholarship opportunities

Schedule

Monday through Friday, 8:00 AM to 4:00 PM, with on-call responsibilities as needed.