RN Care Coordinator - Gastroenterology

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

RN Care Coordinator - Gastroenterology

                        

Location

Weston

                    

Facility

Florida Weston Hospital

                     

Department

Gastroenterology-Weston Hospital

                      

Job Code

000281

                     

Shift

Days

                       

Schedule

8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale and Florida regions. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.  

As an RN Care Coordinator, you will work collaboratively with multidisciplinary caregivers across the continuum of care to provide longitudinal coordination of care and disease management for patients with chronic conditions. In this role, you will ensure patient concerns are appropriately triaged to support timely resolution and provider involvement when necessary. You are responsible for coordinating and navigating IBD/UC patients through all phases of treatment, ensuring that required tests, procedures, imaging, and genetic results are completed or obtained in a timely manner to support optimal treatment decisions. The RN Care Coordinator will also monitor patient adherence to treatment plans and follow-up requirements, helping to maintain and improve patient quality of life.

This role is critical to enhancing care delivery for GI patients, maintaining regulatory compliance, and supporting the growth of the gastroenterology department. By improving access, optimizing APP utilization, and supporting timely care delivery, this position contributes to better outcomes, reduced Emergency Department utilization, and expanded patient access.

A caregiver in this role works days from 8:00 a.m. to 5:00 p.m.  

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.  

• Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator and identify the primary care team involved. 

• Utilize assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care coordination. 

• Utilize technological tools (registries, patient lists, care team tab, etc.) to 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.  

• Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others. 

• Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.