RN Care Coordinator PT or FT

Position Available: 1 Full time or 1 Part time
Hours: Monday – Friday; 8am – 5pm No nights or Weekends!
Location: Bigfork, MN

We are currently seeking a full-time or part-time RN Care Coordinator to join our team at our Bigfork Medical clinic. This position is responsible for providing care coordination for chronically ill or “high- risk” patients and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources. This position will frequently collaborate with Providers, RNs, Nurse Manager and other nursing personnel. Other responsibilities include telephone triage and nursing services through a dedicated nurse triage line. The RN Care Coordinator nurse will operate at the top of their RN license by utilizing advanced clinical nursing skills with discretion and independence.

Care Coordination Responsibilities:

  • Serve as the contact point, patient advocate, and informational resource for patient’s care team, family/caregiver(s), payers, and community resources
  • Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals
  • Assist with the identification of “high-risk” patients (the chronically ill and those with special health care needs), and add these to the patient registry (or flag in EMR)
  • Provides mentoring/coaching of other population health and care coordination team members and coach patients/families toward successful self-management of their chronic disease
  • Utilize tools and documents that support a guided care process, collaborate with patients/family toward an effective plan of care
  • Assess patient and family’s unmet health and social needs
  • Provide effective communication to improve health literacy
  • Develop a care plan based on mutual goals with patient, family, and provider’s emergency plan, medical summary, and ongoing action plan, as appropriate
  • Monitor patients adherence to plan of care and progress toward goals in a timely fashion, facilitate changes as needed
  • Create ongoing processes for patients/families to determine and request the level of care coordination team support desire over time
  • Complete Prescription Refill requests
  • Assist support staff with patient inquiries directly or in-directly utilizing phone, patient portal and EMR system
  • Ensure effective tracking of test results, medication management, and adherence to follow-up appointments

Phone Triage Responsibilities:

  • Assess patient’s medical need and evaluate to determine appropriate care
  • Use written protocols to triage patients
  • Assist and instruct patients regarding their healthcare needs
  • Utilize staff, providers, and nurse manager to make appropriate collaborative decisions regarding patient care
  • Coordinate the required services with other departments as necessary
  • Communicate concerns or problems with the Provider or Nurse Manager for guidance
  • Identify via telephone potential complications and/or need for emergent care
  • Provide patient instructions based on their medical need


  • Advanced clinical nursing skills to use discretion and independence while delivering care
  • Excellent Communication Skills
  • Three years clinical experience working with chronic disease patients or related case management experience, five or more years preferred
  • Patient Care Focus
  • Team Centered Approach
  • Organizational and Multi-Tasking Skills
  • Associate Degree in Registered Nursing with an active MN license
  • EMR or EHR experience

Full time Benefits:

  • 12 Annual Vacation Days
  • 12 Annual Sick Days
  • 7 Annual Holidays & 3 Personal Days
  • Health Insurance options through Medica with HSA
  • Dependent Care Flex Spending Account
  • $50,000 Life Insurance and AD&D
  • $2,000 annual Dental Benefit
  • 403(b) Retirement Plan through American Funds
  • CPR or BLS Certification
  • 4 Annual Continuing Education Days
  • $1,500 Annual Continuing Education Benefit
  • Covered License Renewal Costs

* A pro-rated and reduced benefit plan is provided to part time employees.

Join our team and make a difference in patient care!

Click Here to Apply!