Care Coordinator

Care Coordinator

Operations

Company Overview

PocketRN is a virtual care company dedicated to closing the gap between home and healthcare through empowerment, community, and convenience. We believe high-quality care should be accessible, supportive, and flexible—meeting patients, caregivers, and families where they are and when they need it.

Our care model enables:

• Nurses to deliver personalized care through clinical expertise and coaching

• Caregivers to confidently support loved ones with guidance and education

• Patients to access trusted, high-quality care from home, on their own schedule

PocketRN is backed by experienced healthcare leaders and investors, with a team that brings deep expertise from leading healthcare systems and technology organizations. We are building a human-centered, collaborative virtual care experience designed to support modern healthcare needs and value-based care delivery.

Role Summary

PocketRN is seeking a full-time Care Coordinator to support patients and caregivers navigating dementia-related care. This role focuses on outreach, follow-up, documentation, and cross-team communication to ensure patients move forward through care pathways smoothly and feel supported along the way.

The ideal candidate is highly organized, comfortable making frequent patient calls, experienced in dementia care, and able to work independently while collaborating closely with nursing, intake, and support teams.

This shift would occur Monday through Friday from 8:00 am to 4:30PM MST. However, we recognize the need for flexibility and many allow alternative start and end times, with prior manager approval, as long as job responsibilities and team coverage are not impacted.

Schedule & Employment Type

• Full Time, Monday through Friday, Exempt position

• Shift 8:00 am to 4:30 pm EST with flexibility for start and end times with manager approval

• Consistent availability and adherence to a schedule are required to support care delivery and operational needs

Key Responsibilities

Care Coordination & Patient Outreach

• Conduct outreach to patients and caregivers to support care coordination needs based on consults and patients lost to follow up.

• Make multiple outbound calls daily and manage follow-up across a dynamic caseload

• Maintain a professional presence during phone and video interactions

Documentation & Tracking

• Accurately document all outreach attempts, patient interactions, and outcomes in the electronic health record and various other tracking systems

• Track follow-up timelines and ensure no patients are lost to follow-up

• Maintain clear, organized case notes so other team members can easily step in if needed

Cross-Team Communication

• Communicate patient updates clearly to nursing, intake, support, and leadership teams when necessary

• Flag emerging issues, delays, or barriers in real time

• Escalate psychosocial, safety, or complex family concerns appropriately

• Close the loop with teams after actions are taken

Patient & Caregiver Support

• Provide empathetic, non-clinical support to patients and caregivers navigating dementia care

• Reinforce next steps and help patients feel confident advocating for their care

• Support patients as needed

Qualifications

Required

• Minimum 3 years of experience in care coordination, case management, or patient navigation

• Experience working with older adults and/or patients with dementia and their caregivers

• Strong ability to take initiative and manage multiple patients and priorities

• Maintain patient privacy and strictly adhere to HIPAA compliance standards in a virtual care environment.

• Comfort making frequent outbound calls and maintaining professional communication

• Excellent organizational and documentation skills

• Minimum of 1 year experience working in a remote environment

• Comfortable sitting at a desk and working on a computer for the duration of the workday

• Ability to conduct professional video visits with patients and caregivers

Preferred

• Background in healthcare, social services, or care management

• Experience working in interdisciplinary teams

• Familiarity with electronic health records or case management platforms

• Experience supporting patients across different states or healthcare systems

Core Skills & Attributes

• Highly organized and detail-oriented

• Strong written and verbal communication

• Calm, empathetic, and patient-centered approach

• Able to work independently and take ownership of follow-up

• Comfortable navigating ambiguity and problem-solving in real time

• Professional, reliable, and consistent