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Clinical Care Coordinator, RN
Winning Assistants LLC. Receive, log, and triage referrals from hospitals, skilled nursing facilities, physicians, and community partners .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong clinical judgment and detail-oriented assessment skills for patient triage and discharge planning, with a focus on reducing readmission risk through effective care coordination and communication. Proficient in utilizing Kinnser EHR system and maintaining accurate documentation in a remote healthcare environment.
Highest-signal resume keywords
Registered Nurse (RN)Home Health ExperienceClinical JudgmentPatient TriageKinnser EHR Familiarity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentReferral ReviewDischarge PlanningDocumentation AccuracyReadmission Risk Reduction
Soft Skills
Detail-OrientedDecision-MakingEffective Communication
Tools & Technologies
Kinnser EHRVideo Meeting SoftwareNoise-Canceling HeadsetWebcam
Certifications & Qualifications
Active Nursing LicenseRelevant Medical Degree
Industry Keywords
Home Health ServicesMedicareMedicaidInsurance VerificationCare Coordination
About the role
Key responsibilities & impact- Receive, log, and triage referrals from hospitals, skilled nursing facilities, physicians, and community partners
- Review H&P, discharge summaries, therapy notes, progress notes, and physician orders for accuracy and completeness
- Obtain missing documentation and clarify clinical needs with referral sources
- Determine patient appropriateness for home health services
- Screen eligibility based on homebound status, skilled needs, physician oversight, and valid orders
- Verify Medicare, Medicare Advantage, Medicaid, and commercial insurance coverage
- Confirm service-area coverage and staffing availability
- Assess hospital readmission risk and identify high-risk patients
- Escalate 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 aligns with nursing competencies
- Coordinate with the Clinical Manager and care teams on care coordination meetings and clinical concerns
- Provide clinical handoffs to field nurses, schedulers, and care teams
- Serve as primary clinical contact for hospitals and skilled nursing facilities
- Send reports and updates concerning admissions, care delays, and discharge planning
- Maintain accurate reporting and documentation
- Conduct weekly Thursday and Friday patient tuck-in calls
- Identify symptom changes, medication issues, wound concerns, and caregiver challenges
- Escalate concerns requiring weekend visits, therapy, physician communication, or care-plan adjustments
- Document findings to support readmission prevention
Requirements
What you’ll need- Registered Nurse (RN) or strong clinical background required
- Relevant medical degree or nursing education required
- Active nursing license preferred
- Experience in home care or home health strongly preferred
- Strong clinical judgment for referral review, patient triage, and discharge planning
- Ability to assess patient symptoms and identify potential complications independently
- Detail-oriented review of referrals, documentation, and care plans
- Ability to make decisions and escalate concerns appropriately
- Ability to reduce readmission risk through proactive follow-up and care coordination
- Relevant clinical work experience required
- Previous remote or virtual healthcare experience preferred but not mandatory
- Proficient in speaking and writing English very clearly
- Must submit an NBI clearance and/or Local Police Clearance background check before onboarding
- Must be available for video meetings with camera on when needed
- Reliable laptop or desktop computer
- High-speed internet connection of at least 10 Mbps
- Noise-canceling headset
- Webcam for virtual meetings
- Quiet, professional workspace
- Familiarity with Kinnser EHR system
Benefits
Comp & perks- 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, trainings, and client-approved allowances