Patient Care Coordinator

Job Description

Job Description

Empowering communities through accessible, inclusive, and compassionate care.

At the Jane Pauley Community Health Center (JPCHC), every role is rooted in purpose. As a Federally Qualified Health Center (FQHC), we're committed to providing high-quality, integrated care regardless of income or insurance status. Our mission-driven team supports underserved populations in Indiana, and we're proud to create a welcoming, team-based environment where employees can grow and thrive.

We are currently seeking a Patient Care Coordinator (RN) to join our team. This role is ideal for a registered nurse who is passionate about care coordination, patient advocacy, and driving quality improvement. The Patient Care Coordinator works closely with providers, staff, and external partners to ensure smooth care transitions, support chronic disease management, and improve patient outcomes.

Job Summary

The Patient Care Coordinator is an essential member of the practice care team, working under the direction of the Practice Manager. This role supports health promotion, disease prevention and management, patient education, nursing care planning, and coordination of care with both internal teams and external facilities. The position is hybrid-remote, with work arrangements tailored to the needs of the RN and JPCHC leadership.

Job Responsibilities (include but are not limited to) :

Patient Advocacy & Care Coordination

• Serve as a patient advocate, helping patients navigate the healthcare system
• Provide patient education using evidence-based practice and JPCHC-approved resources
• Support patient self-care management of disease and behavior modification interventions
• Coordinate continuity of care between primary and specialty providers, hospitals, ERs, and JPCHC teams
• Conduct telephonic outreach to patients post-hospitalization, discharge, or ER visit
• Manage care transitions for high-risk patients, ensuring timely follow-up appointments
• Perform phone triage, medication refills, and prior authorizations within scope of licensure
• Document all patient interactions accurately and consistently in the EMR

Quality Improvement & Clinical Support

Preceptorship & Mentorship

Required Skills and Qualifications

What We Offer :

Join a mission-driven organization where your work supports community wellness and expands equitable access to care. Apply now and help us continue making a difference one patient, one referral, one connection at a time.