Registered Nurse Care Coordinator, PRN

Title:

Registered Nurse Care Coordinator

Reports to:

VP of Advanced Primary Care Practice

What We Offer You Competitive pay Comprehensive health, dental, and vision coverage

Supplemental benefits (life insurance, disability, accident, etc.)401(k) with company match

Generous paid time off (Vacation/Sick/Holiday) for full‑time positions

Career growth and advancement opportunitiesA company culture committed to compassionate, coordinated care

Many more perks and benefits

Job Summary The Registered Nurse Care Coordinator (RNCC) partners with the Pro Care Advantage Institutional Special Needs Plan (ISNP) Nurse Practitioner (Plan NP) to coordinate care for ISNP Beneficiaries (Plan Members). The RNCC maintains routine contact with Plan Members, families, and facility staff, monitors changes in condition, and ensures timely communication with Plan NPs and interdisciplinary care teams. This role plays a critical part in supporting proactive care management, reducing unnecessary transitions, and improving outcomes for high‑acuity long‑term care residents.

Qualifications Active Registered Nurse (RN) license in the respective state

Compliance with all required State and Federal guidelines

Must maintain ongoing Texas Board of Nursing educational requirements for licensure and re‑certification

Strong communication and coordination skills

Ability to work collaboratively with interdisciplinary teams and facility leadership

Essential Functions Assist the Plan NP with care coordination duties and documentation for Plan Members Initiate and complete assessments, including vital signs and other clinical data collection

Perform daily rounds to identify medical, emotional, or behavioral changes in Plan Members Obtain daily Plan Member census and report transitions (ED visits, hospitalizations, hospice elections, returns from hospital) to Plan NPs and RNPsMonitor Plan Members during transitions to and from the hospital; communicate updates to facility staff and Plan NPsEnsure Plan NP receives all discharge paperwork and summaries following hospital transitions

Conduct timely in‑person follow‑ups after transitions to reduce readmission risk and identify additional needs

Partner with facility staff and the Interdisciplinary Care Team (ICT) to implement care plans and coordinate specialty, therapy, or ancillary services

Alert the Plan NP promptly of new enrollees and prioritize intervention for Plan Members at risk for transition

Support proactive care management to improve outcomes and reduce unnecessary hospitalizations

Perform other duties as assigned

Continuing Education Attend required in‑services and continuing education programs to maintain professional licensure and certification

Participate in ongoing education related to Medicare and Managed Care Case Management Physical Demands Ability to communicate in English via phone, in writing, and verbally with staff, residents, families, and external partners

Ability to stand, walk, sit, reach, handle, or feel objects as needed

Ability to drive a personal vehicle to multiple facility locations

Ability to lift up to 50 pounds occasionally

Ability to use a computer, phone, and related technology for extended periods

Occasional exposure to facility environments, including noise, chemicals, and airborne particles

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

We are an Equal Opportunity Employer. We offer an excellent benefit plan including 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.
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