We have a great opportunity for an RN Care Coordinator, Palliative Care. The position is full-time Monday - Friday 8:00am - 5:00pm.
The RN Care Coordinator serves as the clinical extension of an assigned palliative care patient panel, delivering comprehensive nursing support. Working in partnership with the interdisciplinary team, the RN coordinates clinical care, performs symptom assessment and triage, manages patient communications, supports care transitions, and facilitates timely follow-up.
This role provides comprehensive patient services including Principal Care Management (PCM), care coordination, symptom monitoring, patient and caregiver education, medication management support, and interdisciplinary communication. The RN collaborates with providers, social work, specialists, facilities, home health, hospice, pharmacies, and community partners to ensure coordinated, patient-centered care.
The RN supports panel management, identifies patients requiring proactive intervention, assists with quality initiatives, and manages clinical workflows that maximize provider efficiency while improving patient access, engagement, and outcomes.
Our team members enjoy the following benefits: Competitive salaries and a comprehensive benefit package which includes:
Education Requirements:
CPR certification from the American Heart Association or American Red Cross Basic Life Support (BLS) is require
Other: Valid state-issued driver's license required. Must carry automobile liability insurance at limits required by agency. Must have own transportation.
Qualifications and Skills
Provider Clinical Support
Serve as the primary clinical support resource for palliative patients.
Execute delegated nursing interventions within RN scope.
Review schedules and prepare patients for upcoming visits.
Support follow-up on provider recommendations, orders, labs, imaging, referrals, and treatment plans.
Communicate significant clinical changes promptly.
Principal Care Management (PCM)
Provide monthly PCM services meeting CMS requirements.
Assess symptoms, medication adherence, barriers to care, and changes in condition.
Coordinate care across providers and settings.
Document PCM services to support compliance and billing.
Patient Panel Management
Maintain oversight of assigned patient panel.
Perform proactive outreach after hospitalizations, ED visits, or symptom escalation.
Monitor care gaps, quality metrics, and follow-up needs.
Support continuity of care across the healthcare team.
Clinical Triage & Symptom Management
Triage incoming clinical calls and EMR messages.
Provide patient education and reinforce provider care plans.
Escalate urgent or complex issues appropriately.
Care Coordination
Coordinate referrals, diagnostics, DME, home health, hospice, and community resources.
Facilitate care transitions and communication among treating clinicians.
EMR & Workflow Management
Manage provider inboxes, refills, orders, labs, and documentation workflows.
Ensure timely, accurate EMR documentation.
Track outstanding tasks until resolution.
Interdisciplinary Collaboration
Participate in interdisciplinary care planning.
Collaborate with physicians, APPs, RNs, social workers, facilities, and community partners.
Quality Improvement
Support workflow optimization, reporting, quality metrics, and program development.
Our Mission:
AuthoraCare Collective empowers people to be active participants in their care journey, enabling them to live on their own terms through personalized support for mind, body, and spirit.
Our patients are always the author of their life story. During a challenging illness, AuthoraCare Collective helps them author more moments that matter, regardless of the stage of their illness or condition. This is captured by our tagline: Your Story. Our Expert Care.