RN Embedded Care Coordinator - Gastroenterology - Foundation Medical Partners

Come work at the best place to give and receive care!

Job Description:

Affiliated with Southern New Hampshire Medical Center, Foundation Medical Partners is the second largest multi-specialty group in New Hampshire and serves the greater Nashua community. We encourage the professional growth and development of our employees and are proud of the workplace culture we have developed.

At Foundation Gastroenterology, we are committed to delivering exceptional digestive health care to patients throughout the greater Nashua community. Our providers specialize in the prevention, diagnosis, and treatment of gastrointestinal conditions, including GERD, inflammatory bowel disease, liver disorders, colorectal conditions, and other digestive health concerns. We partner closely with our patients to provide comprehensive, patient-centered care that supports long-term health and wellness.

Responsible for managing care for complex gastroenterology patients to promote effective education, self-management support, care coordination, and timely healthcare delivery. Collaborates with patients, providers, and interdisciplinary teams to develop individualized care plans and improve patient outcomes.

• Provide care coordination and case management for patients with complex healthcare needs.
• Collaborate with providers and interdisciplinary care teams to develop individualized care plans.
• Educate patients on disease management, medications, nutrition, and self-management strategies.
• Coordinate transitions of care, including hospital discharges, specialty referrals, and follow-up care.
• Utilize population health tools and electronic medical records to identify and manage patients requiring additional support.
• Promote patient safety, quality outcomes, continuity of care, and preventive health initiatives.

• Associate Degree in Nursing (ASN) or equivalent from an accredited institution required.
• Bachelor of Science in Nursing (BSN) preferred.
• Current New Hampshire Registered Nurse license and BLS/CPR certification required.
• Minimum of two years of professional nursing experience required.
• Ambulatory care, case management, population health, or care coordination experience preferred.
• Strong clinical assessment, communication, and care coordination skills.
• Knowledge of electronic medical records, chronic disease management, and patient-centered care principles.
• Ability to manage multiple priorities, work independently, and collaborate effectively with patients, families, and care teams.

• Flexible scheduling opportunities
• Health, dental, prescription, and vision coverage for full-time & part-time employees
• Competitive pay
• Tuition Reimbursement
• 403(b) Retirement Savings Plan
• Education & Paid training courses for continued career progression
• Supportive team environment focused on quality patient care and professional development & more!

8a-5p; 4 days weekly

Solution Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. Solution Health is an integrated health system uniquely focused on providing access to high-value primary and specialty care that meets the growing needs of the communities we serve.

Together, Southern New Hampshire Health and Elliot Health System, the founding members of Solution Health, are committed to innovative models of care and collaboration that improve the health and well-being of more than half of million residents of our region. We start with committing to do the right thing, for each patient, always.