Cleveland Clinic·Weston, Florida
Coordinate longitudinal care and disease management for patients undergoing neurosurgical procedures, including Deep Brain Stimulation. Collaborate with multidisciplinary teams to conduct clinical assessments, provide patient education, and reduce hospital readmissions.
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JOB CODE: 000281
Schedule: 8:00am-5:00pm
Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale and Florida regions. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
As a Care Coordinator for Neurology, you will collaborate with a multidisciplinary care team to coordinate care for patients undergoing neurosurgical procedures across Florida, including Deep Brain Stimulation (DBS) surgeries performed exclusively at the Weston location. In this role, you will provide longitudinal care coordination and disease management for patients with chronic neurological conditions and those requiring surgical care. By conducting patient outreach, coordinating services, and supporting patients throughout their care journey, you will help improve outcomes, enhance the patient experience, and reduce preventable emergency department visits and hospital readmissions.
00 a.m. to 5:00 p.m.
Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
Provide care and disease management coordination.
Identify patients in the specialty care practice that have ongoing coordination needs and conduct targeted outreach.
Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator and identify the primary care team involved.
Utilize assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care coordination.
Utilize technological tools (registries, patient lists, care team tab, etc.) to manage populations.
Conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social and end of life needs of each patient.
Inform and work with patients and their families regarding coordination of their care, provide education and coaching, monitor patient compliance with their care plan, perform reassessments regarding patient progress toward goals and update plan of care.
Serve as a liaison and advocate for patients and families.
Assist in managing transitions of care across care settings, ensuring optimal communication and planning.
Identify barriers, facilitate solutions and connect others to community resources.
Partner with other care coordinator teams such as primary and transitional care social work, rehabilitation, pharmacy, palliative care and others.
Define and ensure compliance with disease-specific care paths for specialty care or chronic disease.
Coach patient and family on self-management support.
Educate about managing a specialty or surgical condition (inclusive of preoperative, perioperative, postoperative and recovery) inclusive of prevention and health maintenance tasks.
Educate and connect to other care providers and community resources to enhance care.
• Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ [https://info.flclearinghouse.com/]
Please review the Equal Employment Opportunity poster [https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal].
Cleveland Clinic is pleased to be an equal employment opportunity employer.
Market context
In Florida, nursing roles are typically in steady demand across hospice, hospital, and other care settings, especially for RNs who can work independently and adapt to varied patient needs. These positions are competitive because employers often look for current RN licensure, at least one year of experience, active BLS certification, and reliable transportation, while benefits commonly include health insurance, professional development, and a supportive work environment. Before applying, confirm your license, BLS status, and driving readiness, and review the AI-summarized requirements and benefits here to save time versus reading the full original posting.
