Care Coordinator - RN

Care Coordinator RN

Rowe Health Center | Cottage Hospital
Schedule: Tuesday–Friday | Outpatient Setting

Position Overview

Cottage Hospital is seeking a compassionate, organized, and clinically strong Registered Nurse Care Coordinator to join our Rowe Health Center team. This role is ideal for an RN who enjoys building long-term patient relationships, coordinating care across services, and helping patients navigate complex healthcare needs in an outpatient setting.

In this position, you will work closely with patients, families, primary care providers, specialists, and community partners to ensure timely access to care and continuity across the healthcare continuum. Your work will focus on supporting high-risk and chronically ill patients, improving preventive care utilization, and reducing emergency department visits and hospital readmissions.

This role blends care coordination with clinical responsibilities, including triage support, medication management, and prior authorizations—requiring strong clinical judgment, critical thinking, and a proactive, patient-centered approach.

Key Responsibilities

Care Coordination & Patient Support

• Partner with high-risk and chronically ill patients and their caregivers to develop and support individualized care plans
• Coordinate care across primary care, specialty providers, hospital departments, and community resources
• Support care transitions following hospital admissions, discharges, and emergency department visits
• Conduct and support preventive services, including:
  • Medicare Annual Wellness Visits
  • Transitional Care Management (TCM)
  • Chronic Care Management (CCM)
  • Advance Care Planning
• Promote patient education, self-management, and behavior-change strategies
• Monitor patients with multiple co-morbidities or high risk for readmission and intervene proactively

Triage & Clinical Coordination

• Assist with telephone triage, performing initial assessments and determining urgency of care needs
• Use clinical judgment to guide patients to the appropriate level of care (home care, clinic visit, urgent or emergent care)
• Support medication management, including prior authorizations, denials, and appeals
• Track, monitor, and assist with medication refill requests in collaboration with providers

Team Collaboration & Documentation

• Maintain clear, consistent communication across the care team to ensure alignment on patient care plans
• Document all patient interactions accurately and in a timely manner within the electronic medical record
• Support overall clinic operations and patient care needs as required

What Makes This Role Unique

• Consistent Tuesday–Friday schedule (great work-life balance)
• Outpatient setting with no overnight or inpatient responsibilities
• Opportunity to build meaningful, long-term patient relationships
• Collaborative, community-focused care environment
• Direct impact on preventive care and patient outcomes