Care Coordinator

Job description

Locations: Kalamazoo, MI | South Bend, IN (Memorial Hospital) | Elkhart, IN (Elkhart General Hospital)
Flexible Multi-Site Opportunity - No Travel Required
Beacon Health System is seeking a compassionate and experienced RN Care Coordinator to support patients across three locations: Kalamazoo, Michigan; Memorial Hospital in South Bend, Indiana; and Elkhart General Hospital in Elkhart, Indiana. While this role serves patients within all three markets, travel is not required. The RN Care Coordinator will collaborate virtually and through established care coordination processes to ensure seamless patient care across the continuum.
Position Summary
Reporting to the Manager, Director, or Executive Director , the RN Care Coordinator is responsible for managing outcomes for a designated patient population with an emphasis on quality, service excellence, patient satisfaction, and cost-effective care. This role coordinates transitions of care from inpatient settings to post-acute services, physician offices, and community resources while partnering with physicians, interdisciplinary teams, patients, and families to achieve optimal outcomes.
The RN Care Coordinator plays a critical role in chronic disease management, patient education, care gap closure, quality improvement initiatives, and post-discharge follow-up activities.
Key Responsibilities
Care Coordination & Population Health Management
• Coordinate patient care across the entire continuum, ensuring smooth transitions from hospital to home and follow-up physician visits.
• Partner with physicians, care teams, and community organizations to implement individualized plans of care.
• Educate patients with chronic conditions and connect them with appropriate resources and support programs.
• Serve as a liaison between patients, families, physicians, and interdisciplinary teams.
• Monitor patient outcomes, track variances, and identify opportunities for intervention and improvement.
• Coordinate discharge planning, community services, follow-up care, and patient education.
• Review medical records for completeness, accuracy, and resolution of care concerns prior to discharge.
• Collect, analyze, and report patient outcome data following discharge.
• Support initiatives focused on reducing readmissions and improving patient engagement.

Quality Improvement & Reporting
• Analyze utilization and outcome data to identify trends and opportunities for process improvement.
• Prepare summaries, profiles, and reports for leadership review.
• Develop recommendations that support quality, patient safety, and operational effectiveness.
• Partner with clinical teams to close gaps in care and improve population health outcomes.

Collaboration & Relationship Building
• Establish effective working relationships with physicians, staff, patients, families, and community partners.
• Collaborate with fellow Care Coordinators and interdisciplinary teams across multiple service areas.
• Support organizational initiatives that promote patient-centered care and exceptional service.

Qualifications
Education
• Bachelor's Degree in Nursing (BSN) or related field required.
• Master's Degree preferred.

Licensure
• Current Registered Nurse (RN) license in Indiana required.
• Additional state licensure may be required based on practice location and regulatory requirements.

Experience
• Minimum of three (3) years of related clinical nursing experience.
• Experience managing chronic disease populations and patient education initiatives preferred.
• Care coordination, case management, population health, or transitional care experience strongly preferred.

Knowledge, Skills & Abilities
• Strong knowledge of clinical care practices and chronic disease management.
• Excellent patient assessment and care planning skills.
• Ability to analyze data, identify trends, and support quality improvement efforts.
• Strong verbal, written, and interpersonal communication skills.
• Ability to work independently while managing multiple priorities.
• Comfortable utilizing electronic health records, Microsoft Office applications, and reporting tools.
• Demonstrated ability to build collaborative relationships with providers, patients, and healthcare teams.

Why Join Beacon Health System?
At Beacon Health System, our mission is simple:
We deliver outstanding care, inspire health, and connect with heart.
Our Values
• Trust
• Respect
• Integrity
• Compassion

Beacon Benefits
Beacon Health System offers a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including:
• Competitive compensation
• Medical, Dental, and Vision insurance
• Health Savings Account (HSA) and Flexible Spending Accounts (FSA)
• Retirement savings plan with employer contribution
• Paid Time Off (PTO)
• Paid Holidays
• Tuition Assistance and Professional Development Programs
• Employee Assistance Program (EAP)
• Life and Disability Insurance
• Wellness Programs and Employee Discounts