Clinical Care Coordinator, RN

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Receive, document, and prioritize referrals from hospitals, skilled nursing facilities, physicians, and community partners.

• Review history and physical exams, discharge summaries, therapy notes, progress notes, and physician orders for accuracy and comprehensiveness.

• Acquire missing documentation and clarify clinical requirements with referral sources.

• Assess patient suitability for home health services.

• Evaluate eligibility based on homebound status, skilled needs, physician oversight, and valid orders.

• Confirm coverage for Medicare, Medicare Advantage, Medicaid, and commercial insurance.

• Verify service-area coverage and staffing availability.

• Assess the risk of hospital readmission and identify high-risk patients.

• Elevate high-risk cases to clinical leadership.

• Screen for complex wounds, infection risks, IV therapy, feeding tubes, catheter or ostomy needs, and respiratory support requirements.

• Ensure patient acuity corresponds with nursing competencies.

• Collaborate with the Clinical Manager and care teams during care coordination meetings and address clinical concerns.

• Provide clinical handoffs to field nurses, schedulers, and care teams.

• Act as the primary clinical contact for hospitals and skilled nursing facilities.

• Dispatch reports and updates regarding admissions, care delays, and discharge planning.

• Maintain precise reporting and documentation.

• Conduct weekly patient tuck-in calls on Thursdays and Fridays.

• Identify changes in symptoms, medication issues, wound concerns, and caregiver challenges.

• Raise concerns that necessitate weekend visits, therapy, physician communication, or adjustments to care plans.

• Document findings to aid in preventing readmissions.

⛳️ Requirements

• Registered Nurse (RN) or a strong clinical background is required.

• A relevant medical degree or nursing education is necessary.

• An active nursing license is preferred.

• Experience in home care or home health is strongly preferred.

• Strong clinical judgment for referral evaluation, patient triage, and discharge planning is essential.

• Ability to independently assess patient symptoms and identify potential complications.

• Detail-oriented approach to reviewing referrals, documentation, and care plans.

• Capability to make decisions and escalate concerns as needed.

• Ability to mitigate readmission risk through proactive follow-up and care coordination.

• Relevant clinical work experience is required.

• Previous remote or virtual healthcare experience is preferred, but not essential.

• Proficient in clearly speaking and writing in English.

• Must provide an NBI clearance and/or Local Police Clearance background check prior to onboarding.

• Availability for video meetings with the camera on when required.

• A reliable laptop or desktop computer is necessary.

• High-speed internet connection of at least 10 Mbps is required.

• A noise-canceling headset is essential.

• A webcam for virtual meetings is required.

• A quiet, professional workspace is necessary.

• Familiarity with the Kinnser EHR system is preferred.

🏝️ Benefits

• Dedicated HR & Contractor Support Team.

• Premium VPN Access (Optional).

• HIPAA & Cybersecurity Training + Certification (Provided).

• Top 1% VA Performance Training.

• Client-Approved U.S. Holidays.

• Client-Approved Paid or Unpaid Time Off.

• Access to Tools & Resources.

• Optional Performance-Based Incentives, bonuses, or increased hours based on performance.

• Independent contractor resources, training, and client-approved allowances.