Posted:
9/10/2025, 3:45:19 AM
Location(s):
Weston, Florida, United States ⋅ Florida, United States
Experience Level(s):
Junior
Field(s):
Medical, Clinical & Veterinary
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 an RN Care Coordinator for the Advanced Pulmonary and Lung Disease programs, your focus will be on patient outreach and ongoing coordination for a panel of patients to achieve optimal health outcomes, promote wellness, reduce preventable emergency department visits and hospital readmissions and enhance overall patient satisfaction. You will also focus on non-clinical patient administrative work within both programs. In this role, you will serve as the primary caregiver responsible for reviewing charts, discussing high-risk cases with MDs, conducting patient outreach and managing the EON database. You will assist in risk mitigation, support patient capture and encourage patients to utilize Cleveland Clinic for their Lung Nodule and Lung Cancer Screening services, while collaborating with a multidisciplinary care team across the continuum of care to support high-risk patients.
A caregiver in this role works days from 8:00 a.m. – 5:00 p.m.
A caregiver who excels in this role will:
Identify patients in the specialty care practice who require ongoing care coordination for their condition.
Outline the nature and duration of involvement needed by the specialty care team and coordinator; identify the primary care team involved.
Utilize assessment skills and risk tools to determine actual or potential care needs; conduct comprehensive clinical assessments covering medical, behavioral, pharmacy, social, and end-of-life needs.
Conduct targeted outreach to high-risk patients (e.g., chronic illness, limited social support, frequent ED visits, readmissions, surgical episodes) to ensure timely and efficient care delivery.
Use technological tools (registries, patient lists, care team tab, etc.) to manage patient populations and monitor compliance with the plan of care.
Inform and educate patients and families about care coordination and disease management; assess health literacy, knowledge, and readiness to change using teach-back methods.
Coach patients and families on self-management support, including setting short- and long-term goals and providing education on managing specialty or surgical conditions across the continuum (preoperative, perioperative, postoperative, recovery).
Collaborate with the interdisciplinary team to develop care goals, plan interventions, and perform reassessments; update care plans based on patient progress.
Ensure care gaps are closed for chronic diseases, specialty conditions, and surgical episodes.
Serve as the primary patient contact and coordinate care team members to facilitate access to services.
Act as a liaison between patients, families, and healthcare providers; advocate for patients and resolve concerns.
Assist in managing care transitions across settings by ensuring effective communication, identifying barriers, and facilitating solutions.
Minimum qualifications for the ideal future caregiver include:
Graduate from an accredited school of Professional Nursing
Current state licensure as a Registered Nurse (RN)
Basic Life Support (BLS) Certification through the American Heart Association (AHA)
Three to five years of nursing experience (Inpatient or ambulatory)
Preferred qualifications for the ideal future caregiver include:
Bachelor’s of Science in Nursing (BSN)
Specialty certification
Knowledge of EMR software and EPIC
Pulmonary experience
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
Physical Requirements:
Requires full range of motion, manual and finger dexterity and eye-hand coordination.
Requires corrected hearing and vision to normal range.
May requires some exposure to communicable diseases or bodily fluids.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
Personal Protective Equipment:
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 tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.
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.
Please review the Equal Employment Opportunity poster.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Website: https://clevelandclinic.org/
Headquarter Location: Cleveland, Ohio, United States
Employee Count: 1001-5000
Year Founded: 1921
IPO Status: Private
Last Funding Type: Grant
Industries: Health Care ⋅ Hospital ⋅ Medical ⋅ Non Profit