Chapters Health System·Okeechobee, Florida
The RN Care Coordinator assesses patient and family needs to develop and coordinate an individualized Plan of Care with an interdisciplinary team. They provide clinical, palliative, and supportive care to help patients remain in their home environment as long as possible.
It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested.
Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.
Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).
Completes initial and semi-annual assessment for all
Company services including, but not limited to:
Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs
Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort
Obtains Physician orders
Completes documentation per Company policy
Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
Communicates frequently with other members of the IDT.
Provides all necessary clinical communication timely using SBAR.
Discusses any potential needs with after-hours staff.
Develops strong relationships with case managers, physicians, etc. at facilities.
• Satisfactorily complete competency requirements for this position.
Represent the Company professionally at all times through care delivered and/or services provided to all clients.
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
Comply with Company policies, procedures and standard practices.
Observe the Company's health, safety and security practices.
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
Use resources in a fiscally responsible manner.
Promote the Company through participation in community and professional organizations.
Participate proactively in improving performance at the organizational, departmental and individual levels.
Improve own professional knowledge and skill level.
Advance electronic media skills.
Support Company research and educational activities.
Share expertise with co-workers both formally and informally.
Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):
see; hear; talk; walk; use hands to finger, handle or feel.
stand; sit; reach with hands/arms; lift; bend; balance.
pull; push; stoop/crouch; kneel; climb stairs.
$61,860.66 - $96,657.28
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/ [https://info.flclearinghouse.com/].
Requires a current RN license, at least one year of nursing experience, and a valid driver's license with reliable transportation. Candidates must hold an active BLS certification and be capable of performing physical tasks such as lifting patients.
Market context
In Florida, RN Care Coordinator roles are typically driven by ongoing needs to manage patient transitions, follow-up care, and communication across settings. Competition can be strong because employers often want an active RN license, BLS certification, nursing experience, and reliable transportation for field-based responsibilities. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your license, BLS status, and ability to meet the physical and travel demands before applying.