RN / REGISTERED NURSE - CARE COORDINATOR

Posted: 07-Aug-26 • Lewes, Delaware

About the role

Under the supervision of Beebe Healthcare Population Health Care Coordination leadership, the Care Coordination Clinical Nurse II (CC CN II) is a licensed professional Registered Nurse (RN) who provides care coordination services to patients in the home, primary care office, and community settings via face-to-face, telephonic, or virtual platform (telehealth).

Upon successful completion of the required new employee 90-day probationary period onsite at the Population Health Building, the clinical nurse is responsible for assessing, monitoring, and providing ongoing care for patients followed by the Beebe Care Coordination episodic and longitudinal Chronic Care Management (CCM) programs. This position requires knowledge of clinical nursing, health and wellness coaching, and care coordination.

In collaboration with the patient and family as well as the multidisciplinary care team, the CC CN II helps each patient define and achieve their goals of care. As part of episodic or longitudinal CCM, the CC CN II supports the Beebe Medical Group (BMG) primary and specialty care providers and staff through population health management of high and rising risk patients by improving the efficiency, quality, and cost of health care services.

In this role, the CC CN II will be expected to collaborate with patients to facilitate healthy behaviors through health coaching to foster healthy diet, exercise, medication, and disease management. The CC CN II helps patients learn strategies and skills designed to stabilize symptoms and disease progression through ongoing support and reinforcement of the plan of care. This role positively impacts the patient's quality of care and ability to access care and reduces unnecessary costs while capitalizing on revenue-generating opportunities.

Responsibilities

• Provide care coordination services to patients in home, primary care office, and community settings via face-to-face, telephonic, or virtual platforms.
• Assess, monitor, and provide ongoing care for patients in Beebe Care Coordination episodic and longitudinal Chronic Care Management (CCM) programs.
• Collaborate with patients, families, and multidisciplinary care teams to define and achieve patient care goals.
• Support Beebe Medical Group (BMG) primary and specialty care providers through population health management of high and rising risk patients.
• Facilitate healthy behaviors through health coaching, including guidance on diet, exercise, medication, and disease management.
• Help patients develop strategies and skills to stabilize symptoms and disease progression.
• Improve patient experience, mitigate avoidable costs, and enhance quality of care and access to care.
• Build relationships with patients and function as a team member in the patient's continuum of care.

Benefits

• Competitive compensation and wellness benefits (medical, dental, vision, and prescription).
• Sign-on and referral bonuses for select positions.
• Tuition assistance up to $5,250.
• Paid time off and long-term sick accrual.
• Employer contribution plan.
• Free short- and long-term disability for full-time employees.
• Zero copay for drugs on prescription plan for certain conditions.
• College Bound 529 Savings Plan.
• Life insurance.
• Beebe Perks via WorkAdvantage.
• Employee Assistance Program.
• Pet insurance.