RN Care Coordinator-South Bend, Indiana (part-time

At Eventus Whole Health
, we believe in transforming healthcare delivery in skilled nursing and assisted living facilities through integrated, evidence‑based care. Founded in 2014, our organization is committed to improving patient outcomes with a comprehensive, collaborative approach. We’re proud to offer a multidisciplinary team where we build meaningful partnerships with facilities and empower them to achieve their goals, while ensuring the highest standard of care for patients and residents.

Our innovative platform leverages AI‑driven tools to enhance clinical decision‑making, streamline workflows, and support proactive, whole‑person care.

Join our growing team and become part of a healthcare model that truly makes a difference!

• Coordinate care management in collaboration with the Mid‑Level Practitioner (MLP).
• Ensure ICT meeting occur regularly and include the MLP, Provider Physician, RNCC, SNF staff and administrators, beneficiaries, and families.
• Complete Health Risk Assessment within 30 days of enrollment for all new attributed members and update the HRA within 364 days of initial assessment.
• Triage care needs based on the member’s HRA scores and information from other sources.
• Educate skilled nursing facilities’ staff through ICT meetings and regular communications while onsite.
• Provide in‑service education to skilled nursing facilities’ staff relating to specific needs of the geriatric population including but not limited to polypharmacy, fall prevention, and wound care management.
• Identify and address changes in member’s health status by being available on call when not at the skilled nursing facility during scheduled visits.
• Participate in quality assurance initiatives as needed to contribute to the development and implementation of best practices.
• Advocate, inform, and educate members and their families through regular meetings and discussions.
• Maintain accurate and up to date documentation in electronic health record regarding assessments, care plans, progress notes, and communications with family and patients.
• Participate in meetings to discuss quality metric goals and progress towards goals.

• Registered Nurse Skills and Qualifications
• 2+ years’ experience in LTC/ALF setting
• Computer skills and proficiency in MS Office, PCC and Matrix required
• Experience in care coordination or case management is a plus

• AI‑Enabled Innovation: Work with cutting‑edge technology that enhances care delivery and operational efficiency.
• Interdisciplinary
  
  Collaboration:
  
  Work closely with Advanced Practice Clinicians, Physicians, Behavioral Health professionals, and facility partners.
• Mission‑Driven Impact: Help redefine long‑term care and improve lives every day.
• Meaningful Impact: Your work directly enhances patient care, clinician experience, and facility partnership success.
• Employer paid employee medical benefits for qualifying roles
• Paid Time Off + 8 Paid Holidays
• Medical, dental, and vision insurance
• HSA and FSA options
• Employer‑paid employee life insurance
• Short‑term / long‑term disability options
• Voluntary Life and AD&D Coverage
• Employer 401(k) contributions
• Fuel card for gas and car maintenance

We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic in accordance with applicable laws.

• Effective verbal and written communication skills
• Highly organized with confidential client material, appointment tracking and caseloads
• Strong customer service skills, knowledge of geriatric population and patient navigation
• Ability to work independently, deliver to deadlines, and effectively handle multiple priorities
• Ability to solve problems with minimal direction
• Great attention to detail and accuracy
• Interest in working with geriatric clients
• Knowledge of Chronic Conditions
• Knowledge of medications and their uses
• Develop a plan of care for each member in collaboration…