Care Coordinator RN (Per Diem) Messena, NY

Description Job Title: Care Coordinator RN (Per Diem) - Massena, NY Department: Behavioral Health Location: Floating among Behavioral Health locations in Massena, Potsdam and Gouverneur, NY Hours Per Week: 0 Schedule: Monday-Saturday 8am-4:30pm, 9am-5pm, or 8am-6pm SUMMARY: The Care Coordinator works in collaboration and continuous partnership with chronically ill or "high-risk" patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach. Facilitates "shared goal model" within and across settings to achieve coordinated high-quality care that is patient and family centered that address. Acts as a liaison between patients and the healthcare system. Ensures that patients receive the care they need and that they understand their medical condition, medications, and other instructions. Coordination of patient-care services to help reduce costs by reducing duplication of services. RESPONSIBILITIES: Care Coordination - Identify patients' needs, create and adjust individualized evidence-based care plans, educate patients, address barriers to outcomes, and coordinate with community and regional health services. Patient Education & Support - Provide tailored education on self-management, diet, medications, and tests; support high-risk patients; and lead patient support groups or shared medical appointments. Care Delivery - Ensure safe and effective nursing care, triage patient calls, facilitate team huddles, and collaborate with community resources to extend patient care. Quality & Compliance - Collect and report patient data, participate in team/educational conferences, and engage in performance and continuous quality improvement initiatives. REQUIRED QUALIFICATIONS: AAS in Nursing Valid NYS RN License PREFERRED QUALIFICATIONS BS in Nursing 3-5 years' experience in clinical or community resource settings; Care coordination and/or case management experience is desirable Experience in working in partnership with the interdisciplinary healthcare team Excellent interpersonal skills (strong written and verbal communication skills) Experience utilizing an Electronic Medical Record Demonstrate ability to apply decisive, sound, objective clinical judgment for cases with varying complexity PHYSICAL REQUIREMENTS: Light - Clinical - Light clinical roles involve frequent standing and walking, with occasional lifting of light objects (20 lbs.) and routine reaching, grasping, and fine manipulation for tasks such as patient care, laboratory work, or specimen processing. Staff rely on strong visual and auditory acuity to accurately observe specimens, read instrumentation, monitor patients, respond to alarms, and communicate effectively with care teams. Cognitive demands include multitasking, prioritizing clinical and laboratory workflows, and coordinating with interdisciplinary teams. Emotional resilience is necessary due to frequent interruptions, shifting priorities, and the need for precise and compassionate interaction with patients and colleagues. Environmental exposures may include infectious materials, biological specimens, cleaning agents, sharps, chemical reagents, and wet surfaces. PPE use, TB testing, and schedule flexibility are commonly required. PAY RANGE: $30.00 - $52.88 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, mil tary or