Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciatin and build a rewarding career with one of the most respected healthcare organizations in the world.

As a Care Coordinator, you will work collaboratively with multidisciplinary care team staff across the variety of care for high-risk patients. The Care Coordinator provides coordination of care and disease management longitudinally to patients with chronic condition(s) or episodic care of a surgical population and focuses efforts on patient outreach and coordination of care for a panel of patients to achieve optimal outcomes. You will also promote wellness, decreasing preventable ED visits and readmissions while improving patient satisfaction.

A caregiver in this role works remotely from 8:30 a.m. to 5:00 p.m. and occasional weekend shifts. Candidates must reside in the state of Ohio.

A caregiver who excels in this role will:

• Outline the nature and duration of involvement needed by the specialty care team and care coordinator and identify the primary care team involved.
• Utilize assessment skills and risk assessment tools to identify patients’ needs for their specialty condition with potential care needs.
• Conduct clinical assessments targeted outreach to a defined panel of high-risk patients (chronic illness, lack of social support, readmissions, ED visits, surgical episodes, etc.) to ensure timely and efficient care delivery across the continuum of care.
• Utilize technological tools (registries, patient lists, care team tab, etc.) to manage population.
• Work collaboratively with interdisciplinary teams to develop goals and plan interventions to maximize patient outcomes.
• Monitor patient compliance with plan of care and perform reassessments regarding patient progress toward goals.
• Ensure care gaps are closed around specialty disease/chronic disease/surgical episodes.
• Coordinate members of the patient care team.
• Serve as the liaison between patients, families, and physicians, clinical staff by advocating for patients and families then responding to and facilitates resolution of patient/family questions and concerns.
• Assist in managing transitions of care across care setting, ensuring optimal communication and planning.
• Manage the Medicare population of patients with chronic diseases – primarily older adults.
• Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others.
• Work with the patient and family to assess current knowledge, health literacy, and readiness to change, utilizing teaching back to assess level of knowledge.
• Coach patient and family on self-management support; including setting long and short-term goals.
• Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks.
• Work with practices on quality and process improvement initiatives.
  
  

Minimum qualifications for the ideal future caregiver include:

• Graduate from an accredited school of professional nursing
• Current state licensure as a Registered Nurse (RN)
• Basic Life Support (BLS) through American Heart Association (AHA)
• Three to five years of nursing experience
• Background in adult care, med/surg, pulmonary, inpatient or ambulatory
  
  

Preferred qualifications for the ideal future caregiver include:

• BSN
• Specialty certification
  
  

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

• Requires full range of motion, manual and finger dexterity and eye-hand coordination.
• Requires corrected hearing and vision to normal range.
• May requires some exposure to communicable diseases or bodily fluids.
• Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
  
  

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.
  
  

Pay Range

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.