Patient Coordinator – Overnight Role

Location

Tennessee

Posted

8 hours ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Patient Coordinator – Overnight Role

Episode Solutions

• Serve as primary clinical contact for patients throughout their episode of care, providing guidance and support from initial engagement through recovery and program graduation. • Respond to patient concerns or symptoms that arise outside of normal provider office hours. • Provide clinical triage and guidance, including: Self-care instructions, Urgent care referral, Escalation to on-call physicians or clinical teams • Offer reassurance and coaching to patients experiencing symptoms or uncertainty overnight • Conduct proactive outreach calls to monitor patient progress and ensure adherence to care plans. • Provide coaching, education, and support to patients and families navigating complex healthcare systems. • Act as a consistent point of contact to help patients avoid unnecessary emergency department visits or hospital readmissions. • Conduct structured post-discharge follow-up and monitoring to identify early signs of complications. • Ensure patients complete timely follow-up appointments with primary care providers and specialists. • Address medication adherence issues. • Escalate clinical concerns to physicians or care teams when early warning signs are identified. • Document all patient interactions, risk factors, and interventions within the care management platform. • Coordinate closely with physicians, discharge planners, case managers, and other healthcare providers to ensure continuity of care. • Facilitate access to services such as home health, rehabilitation, transportation, and durable medical equipment. • Connect patients with community resources and support services when needed.

Job Requirements

  • Associate’s or Bachelor’s degree in Nursing (BSN preferred)
  • An active nursing license in good standing is REQUIRED for this role
  • 3+ years of clinical nursing experience preferred
  • Experience in care management, case management, population health, or telehealth.
  • Experience working with high-risk patient populations
  • Familiarity with value-based care models (ACO, Medicare Advantage, bundled payment, or risk contracts preferred)
  • Strong clinical triage and patient assessment skills
  • Exceptional patient communication and empathy
  • Ability to establish trust quickly with patients and caregivers
  • Strong care coordination and organizational skills
  • Comfort working with remote care technologies and EMR systems is a must
  • Ability to remain calm and decisive in overnight clinical situations.

Benefits

  • Health insurance
  • Professional development opportunities

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