Chesapeake Regional Healthcare · 2 months ago
CRMG - Care Coordinator (Elizabeth City, NC)
Elizabeth City, NC 27909, USA
Full-time
Hybrid
Mid LevelChesapeake Regional Healthcare is seeking a Care Coordinator to enhance patient care management. The role involves conducting wellness visits, assessing patient health statuses, and developing personalized care plans while collaborating with primary care providers.
Health CareHospitalMedical
Responsibilities
Provide annual wellness visits for identified patients
Perform outreach to patients and schedule annual wellness visits
Assess patients’ health status, identify risk factors, and develop personalized care plans based on findings
Conduct non-invasive assessments and screenings, review medical history, ensure accurate documentation, and perform medication reconciliation to enhance patient safety and compliance
Develop and update personalized prevention plans with patients based on their current health and risk factors
Provide basic patient education on wellness and preventive healthcare measures, including healthy lifestyle choices, screenings, vaccinations, and disease management
Collaborate with primary care providers to identify health gaps and review findings from annual wellness visits
Understand and utilize available reports to identify high-risk patients
Assist patients in navigating the healthcare system by serving as a patient advocate
Educate patients and caregivers on disease management and prevention
Coordinate continuity of care with external healthcare organizations and specialty providers, including hospitals
Coordinate patient and family follow-up care after hospital admissions, discharges, and emergency room visits
Manage care for high-risk patients, including those with multiple comorbidities or at high risk for hospital readmission
Collect and report data pertinent to clinical audits and program evaluation related to the Patient-Centered Medical Home and other population health initiatives
Develop and implement processes and pathways for population health management
Compile data from multiple sources to support total patient care
Attend required hospital-wide orientations, meetings, and in-services
Demonstrate flexibility in work scheduling when necessary to ensure patient care coverage
Qualification
Required
Minimum Required Education: LPN
Current LPN or RN licensure in Virginia or North Carolina
CPR: BLS certification
Preferred
Primary care experience preferred
Demonstrated proficiency in assessing and managing patients with complex health conditions and multiple co-morbidities
Prior Patient-Centered Medical Home experience preferred
Experience with electronic medical records and data reporting required
Company
Chesapeake Regional Healthcare
Chesapeake Regional Healthcare renders rehabilitation, behavioral health, hospice, emergency care, surgery and home healthcare services.
Founded in 1993
1001-5000 employees
H1B Sponsorship
Chesapeake Regional Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
Funding
Current Stage
Late StageLeadership Team
Reese Jackson
President & CEO
Bailey Uggeri
Care Partner
Recent News
The Virginian-Pilot
2025-12-27
The Virginian-Pilot
2025-10-15
Company data provided by crunchbase