Role Description
The registered nurse will be based in the FL market. With responsibility for supporting the patient panel attributed to their care team pod, in partnership with their Advanced Practice Provider and Community Health Worker, this individual will have specific responsibility for both direct care delivery and care coordination.
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Care Coordination & Clinical Support:
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Coordinate patient-centered care by partnering with providers, care teams, specialists, community resources, and other clinical partners to support seamless care delivery and transitions.
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Conduct patient outreach, monitor health status, provide education and medication support, address preventive care needs, and escalate clinical concerns to providers as appropriate.
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Care Planning & Communication:
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Collaborate with providers and care team members through huddles, case discussions, and care planning activities to address patient needs and goals.
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Maintain clear communication with patients, caregivers, and care partners, ensuring care plan updates, instructions, and follow-up needs are effectively shared.
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Scheduling & Documentation:
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Manage provider schedules and coordinate routine, urgent, and post-hospital visits to support timely patient access and continuity of care.
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Maintain accurate and timely documentation of patient encounters, care coordination activities, and clinical interventions to support compliance, quality outcomes, and reporting.
Qualifications
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Fluent in Spanish required
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Active, unrestricted Registered Nurse (RN) license in the state of Florida.
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Associate’s Degree in Nursing (ADN) or higher.
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2+ years of clinical nursing experience, preferably in primary care, care management, internal medicine, home health, or a closely related setting.
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Demonstrated ability to perform clinical triage, assess acute changes in condition, and manage chronic conditions.
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Strong care coordination, communication, and patient education skills.
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Ability to work effectively within an interdisciplinary care team.
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Proficiency with electronic health records (EHRs) and clinical documentation standards.
Requirements
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For candidates based in Florida, this role includes facilitating in-person meetings and supporting face-to-face member interactions.
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Strong critical thinking and clinical judgment.
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Ability to manage multiple priorities, adapt quickly, and work autonomously.
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Collaboration with the care team to develop, review, and update integrated nursing care plans, implements, updates and reviews interventions to meet care goals.
Benefits
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Annual compensation between $70,000-80,000, PLUS an annual performance-based, discretionary incentive.
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Comprehensive health benefit options: Medical, dental, and vision coverage.
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401(k) with competitive employer match.
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Company-paid life and disability insurance.
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Paid parental leave and wellbeing incentives.
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Generous paid time off, including volunteer time.
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Flexible spending accounts for healthcare and dependent care.
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Professional development opportunities and tuition reimbursement.
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Remote work flexibility (role-dependent).
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Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.
