Home Health RN Care Coordination Nurse

Home Health RN Care Coordination Nurse – Elara Caring

At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high‑quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care.

Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Care Coordination Nurse.

• Work autonomy and flexible schedules
• 1:1 patient care
• Supportive and collaborative environment
• Competitive compensation package
• Tuition reimbursement for full‑time staff and continuing education opportunities for all employees
• Comprehensive insurance plans for medical, dental, and vision benefits
• 401(k) with employer match
• Paid time off, paid holidays, family and pet bereavement
• Pet insurance

• Conduct in‑home and facility‑based assessments to determine patient needs and appropriate levels of care
• Develop individualized care plans that reflect each patient’s clinical condition, personal goals, and regulatory requirements
• Coordinate services across Personal Care, Skilled Home Health, and Hospice to ensure continuity and consistency of care
• Collaborate with interdisciplinary team members including physicians, therapists, social workers, and personal care coordinators to support holistic, patient‑centered care
• Educate patients and families about available services, care options, and community resources
• Maintain accurate, timely, and compliant documentation within the electronic health record system
• Monitor patient progress, reassess needs, and coordinate transitions between service lines as conditions change
• Communicate proactively with referral sources and internal teams to ensure timely admissions and smooth onboarding
• Participate in case conferences and care coordination meetings to support comprehensive care planning
• Serve as a wellness advocate by promoting preventive health, safety, and patient empowerment
• Ensure accurate physician orders are signed and received timely
• Facilitate timely provider visits, communication between the agency, patients, providers and facilities
• Perform other duties/projects as assigned

• Current, unrestricted RN license
• 3+ years experience of clinical nursing
• 2+ years experience in home health or hospice with experience driving patient care outcomes, supporting quality initiatives or partnering with leaders to resolve care concerns and ensuring compliance
• Excellent verbal and written communication skills
• Must have a dependable vehicle, a valid driver’s license, and current auto insurance in accordance with the laws of the State
• Ability to travel daily to patient homes, assisted living, and skilled nursing facilities within the assigned territory

We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families.

Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law.

Elara Caring participates in E‑Verify and we will provide the Federal Government with your Form I‑9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E‑Verify once you have accepted the job offer and completed the Form I‑9.

At Elara Caring, pay and compensation are determined by a variety of factors, including education, job‑related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location.

This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided.

If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to

• Mid‑Senior level

• Full‑time

• Health Care Provider
• Hospitals and Health Care