Join our team at Cleveland Clinic and experience world-class healthcare at its best. Named one of the top digestive disease centers in the nation, our Digestive Disease and Surgery Institute (DDSI) is the first of its kind to unite all specialists in gastroenterology and hepatology, bariatric surgery, colorectal surgery, hepato-pancreato-biliary and transplant surgery, and nutrition within one unique, fully integrated model of care. This innovative model of care is aimed at optimizing the patient experience. Here, you can work with a team of talented caregivers that provide the most advanced, safest and clinically proven treatments of the gastrointestinal tract.

As a Care Coordinator in the DDSI/Gastroenterology Department, you will serve as an integral member of a multidisciplinary care team, facilitating the delivery of comprehensive, coordinated care to a defined patient population. This role is responsible for the longitudinal management of patients with chronic conditions and the episodic coordination of care for those undergoing surgical interventions. Emphasis is placed on proactive outreach, individualized care planning, and seamless transitions across care settings. The primary objectives of this position include the promotion of optimal health outcomes, reduction of avoidable emergency department utilization and hospital readmissions, and enhancement of the overall patient experience through effective communication, continuity of care, and a commitment to excellence in service delivery.

A caregiver in this role works days from 8:00 a.m. – 5:00 p.m., up to 2 days work from home.

A caregiver who excels in this role will:

• Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
• Provide care and disease management coordination.
• Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.
• Utilize assessment skills, risk assessment tools and technological tools to identify patients with care needs and manage populations.
• Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.
• Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals, and update plan of care.
• Serve as a liaison and advocate for patients and families.
• Assist in managing transitions of care across care settings, ensuring optimal communication and planning.
• Identify barriers, facilitate solutions, and connect others to community resources.
  
  

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) Certification through the American Heart Association (AHA)
• Three to five years of nursing experience
  
  

Preferred qualifications for the ideal future caregiver include:

• Bachelor’s of Science in Nursing (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.