{"id":1103072,"url":"https://alion.io/job/auntmarthas-care-coordinator-3-rn","title":"Care Coordinator 3 RN","company":{"id":4470,"name":"Auntmarthas","domain":"auntmarthas.org","url":"https://alion.io/company/auntmarthas","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"ADP","truth_index":{"grade":"B","score":75,"open_postings":4,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-09-25T05:45:01Z"}},"role":"Administrative","role_family":"Administrative","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Chicago, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":70000,"max":70000,"currency":"USD","period":"year","gross":null,"usd_annual":70000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false},{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-08-07T22:02:00Z","employer_posted_date":"2026-08-07","last_verified_at":"2026-09-25T08:56:56Z","board_verified":true,"closed_at":null,"days_open":49,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":49},"description":"Care Coordinator 3 RN\nLocation: Chicago Heights IL\nDepartment: Care Coordination\nSchedule: Full-Time\nCompensation: $70,000 annually\nBilingual English/Spanish preferred\nAbout Aunt Martha’s Health & Wellness\nAt Aunt Martha’s Health & Wellness, we are committed to improving the health and well-being of the communities we serve through compassionate, coordinated, and patient-centered care. Our Care Coordination team works closely with primary care providers, hospitals, specialists, community resources, and patients to help ensure individuals receive the right care and support at the right time.\nAs a Care Coordinator 3 RN, you will have the opportunity to make a direct impact on patients with complex healthcare needs. You’ll help high- and medium-risk patients navigate transitions of care, manage chronic health needs, avoid unnecessary hospitalizations, and become more engaged in their own health and wellness. This is an excellent opportunity for a nurse who enjoys patient education, case management, interdisciplinary collaboration, and building meaningful relationships with patients and families.\nPosition Overview\nUnder the direct supervision of the Care Coordination Nurse Supervisor, the Care Coordinator 3 RN monitors and coordinates the healthcare needs of patients to ensure appropriate and timely delivery of services.\nThis position provides comprehensive assessments, develops and monitors individualized care plans, coordinates transitions following hospitalization or skilled nursing care, performs medication reconciliation, provides disease-management education, and connects patients and families with healthcare and community resources.\nThe Care Coordinator 3 RN works closely with primary care providers, nurses, social workers, hospitals, specialists, clinic staff, patients, and families to improve health outcomes and reduce unnecessary emergency department visits and hospital readmissions.\nKey Responsibilities\nClinical Care Coordination\nComplete comprehensive assessments for patients enrolled in care management, including appropriate physical and psychosocial assessments.\nIdentify and prioritize patients based on risk level, healthcare needs, and required follow-up.\nDevelop individualized care-management plans for high-risk patients.\nEstablish measurable SMART goals with patients, families, and the healthcare team.\nReview and update care plans for high-risk patients within required program timeframes.\nPeriodically reassess patients' healthcare and social-service needs.\nProvide ongoing follow-up to support patients in reaching established health goals.\nTransitions of Care\nIdentify patients at risk for hospitalization or unnecessary emergency department utilization.\nCoordinate care and connect patients with appropriate resources to help prevent avoidable hospital or emergency department visits.\nAssist patients and healthcare teams with transition planning following hospitalization or skilled nursing facility care.\nHelp ensure discharge information is available to the patient's primary care provider within required timeframes.\nReview discharge information with patients and families.\nCoordinate timely primary care follow-up appointments following discharge.\nConduct follow-up calls with patients recently discharged from acute hospitalization or considered at high risk for readmission.\nPerform medication reconciliation during care transitions.\nPatient Education & Support\nProvide disease-management and health education.\nEducate patients regarding appropriate emergency department utilization and preventive healthcare.\nPromote patient self-management and help patients and families achieve greater independence in managing their healthcare.\nEngage patients and families in developing and maintaining their individualized plan of care.\nConduct health screenings as appropriate.\nProvide referrals for medical, social, and community-based services and follow up on referral outcomes.\nCollaboration & Community Resources\nCollaborate with physicians, nurses, social workers, care-team leaders, specialists, hospitals, and other healthcare professionals.\nCoordinate with internal Aunt Martha’s programs and external community organizations to address patients' medical and social needs.\nIdentify and effectively utilize community resources for patients and families.\nParticipate as part of a multidisciplinary healthcare team.\nServe as a liaison between hospitals, skilled nursing facilities, primary care providers, patients, and families.\nParticipate in regular team meetings, supervision, and peer-review activities.\nAssist with orientation, precepting, and mentoring of team members.\nDocumentation & Quality\nAccurately document patient assessments, care plans, interventions, and outcomes within the Athena Electronic Health Record (EHR).\nMaintain timely and accurate documentation in the electronic medical record.\nManage databases and outcomes data as required.\nComplete reports and projects accurately and within established deadlines.\nMaintain patient confidentiality and follow HIPAA and organizational requirements.\nParticipate in performance-improvement initiatives and organizational compliance activities.\nQualifications\nEducation & Nursing Experience\n Bachelor of Science Degree in Nursing (BSN) preferred.\nOR\nAssociate Degree with at least 2+ of experience working in the healthcare field preferred.\n LPN/LVN license with 3+ years of healthcare experience \nStrong clinical assessment, patient education, and care-coordination skills.\nExperience working with Microsoft Office programs and performing accurate data entry.\nComfortable learning and working within Electronic Health Record systems.\nPreferred Experience\nCare coordination or case-management experience.\nExperience working with high-risk or medically complex patients.\nHospital discharge and transition-of-care experience.\nMedication reconciliation experience.\nChronic disease management and patient education.\nExperience working within multidisciplinary healthcare teams.\nExperience connecting patients with healthcare and community resources.\nBilingual English/Spanish skills are a plus.\nKey Skills\nStrong clinical judgment and assessment skills.\nExcellent verbal and written communication.\nAbility to independently prioritize and manage a patient caseload.\nStrong organizational skills and attention to documentation, deadlines, and program compliance.\nAbility to manage multiple and competing priorities.\nStrong computer and Electronic Health Record skills.\nAbility to work independently while collaborating effectively with a multidisciplinary healthcare team.\nDependable, flexible, and comfortable adapting to changing patient and program needs.\nAdditional Requirements\nCurrent driver's license.\nCurrent automobile insurance.\nAbility to work late evenings, weekends, or scheduled holidays as needed by the program.\nAbility to provide face-to-face patient services as required.\nAbility to provide departmental coverage as needed.\nAbility to occasionally lift and/or move up to 10 pounds.\nBenefits\nMedical, Dental, and Vision Insurance\nLife and Disability Insurance\nPaid Vacation\nPaid Sick Time\nPaid Holidays\nRetirement Plan\nEmployee Assistance Program (EAP)\nEmployee Discount Programs\nProfessional Development and Career Growth Opportunities","description_format":"text","description_chars":7272,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"associate","optional":true},"security_clearance":false,"languages":[{"language":"Spanish","level":"Proficiency (C2)","optional":true},{"language":"English","level":"Proficiency (C2)","optional":false}]},"benefits":["Growth opportunities","Professional development","Retirement plans","Vision 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