Share this Job

RN - Patient Care Coordinator - Home Health

Benefits Eligibility (Employment Type):  Full-time benefits (32-40 hours per week)
Shift Type:  Day
Shift Length:  8 Hours
Primary Location (City):  Eugene
State:  OR

PeaceHealth is seeking a RN - Patient Care Coordinator - Home Health for a 0.8 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 179066 



In collaboration with the manager, this position is responsible for facilitating the uninterrupted continuing medical care of the patient by efficiently and appropriately coordinating services and resources necessary for the care of patients in Home Health, Hospice or Home Infusion.  This position provides oversight to all aspects of patient onboarding, facilitates accurate and efficient patient care planning and collaborates with the manager and care team to develop and deliver clinical education to staff.  This position also makes patient visits, supporting patient care by performing urgent start of care visits. 



  1. Assist clinical staff with onboarding of patients, including detailed evaluations of patient needs, triage of referrals, Home Health/hospice focus and case load capacities.  Assess multidisciplinary care needs and initiate facilitation, coordination and collaboration within the multidisciplinary team to meet patient, agency and regulatory objectives. Promote timely onboarding of patients through effective communication with case managers and staffers. Facilitate communication with physicians and other members of the healthcare team to assure seamless quality patient care/services across the care continuum.
  2. Evaluate patient care plans for regulatory compliance, skilled need and documentation and assist staff with development of patient specific care plans, including skilled and non-skilled orders, measurable and finite patient directed goals/outcomes/ and realistic/appropriate discharge plan.  Facilitate inter/multidisciplinary case conferences, coordinating focus of care per diagnosis and agency initiatives.  In collaboration with manager/supervisor, plan and implement clinical training based on indicated need.
  3. Coordinate clinical services and facilitate scheduling of patient care services/visits based on the assessed clinical needs of the patient, regulatory guidelines and outcome driven metrics. 
  4. In collaboration with manager and supervisor, support clinical education as directed for Home Health/Hospice care. Assist in the development of clinical training tools and resources.  Support new hire orientation and education, skill development, accurate documentation, case management and the care planning process.
  5. As part of on-going discharge planning and care coordination, evaluate interventions and outcome of patient care, identify barriers to positive outcomes and, in collaboration with manager/supervisor, implement actions and education to support realization of care objection and quality outcomes.
  6. As directed by manager/supervisor, make co-visits with nurses to promote competency.  Provides field training, education and guidance, as indicated by need.
  7. Performs other duties as assigned.




  • Graduate of an accredited school of nursing required. 
  • BSN preferred.



  • A minimum of five years clinical experience and two years home health/hospice/home infusion experience required. 
  • Demonstrated knowledge of and ability to apply age specific principles of growth and development and life stages to meet each patient’s needs.



  • Current Registered Nurse license in the state in which nurse will be practicing required.
  • Current BLS (Basic Life Support) required at time of hire.
  • Valid driver’s license (OR, WA or AK as applicable) and proof of auto insurance required.



  • Cooperative working skills, leadership skills, and interpersonal skills and ability to work effectively with a wide variety of patients, families and staff.
  • Basic computer skills including MS Office applications and clinical applications
  • Leadership skills



Oregon West Network:

  • Job/position is in bargaining unit (ONA).
  • Certain positions that do not have direct clinical contact with the patient do not require BLS.
  • Bachelor of Nursing within 36 months from the start date of the role.


Oregon West Network-Home Health/Hospice:

•             May be asked to provide coverage for new patient registration within CareConnect

  • Bachelor of Nursing within 36 months from the start date of the role.



  • Work requires normal amounts of physical effort up to 33% of the time.
  • Ability to lift objects weighing 30 lbs. or less.
  • Work requires frequent exposure to minor cold, heat, poor ventilation or sharp instruments. Reasonably anticipated exposure to blood and body fluids once per month or more.
  • Job duties frequently require intense concentration and attention to detail (34-65% of work time).


There may be more than one opening on this posting.

For full consideration of your skills and abilities, please attach a current resume with your application.


About Us

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska.  In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. 


Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!  We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment!


To learn more please visit: jobs.peacehealth.org.  Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.


Location: Eugene, Physician & Surgeons North Building (428)
Job Category:  Nursing 
Shift:  Day
Shift Length: 8 Hours
FTE: 0.8
Work Type:  Part Time
Hourly compensation starts at: $37.70, more depending on experience
Required Certifications/Licensure: Registered Nurse - Oregon


PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran, qualified individual with a disability, race, ethnicity, religion, gender, pregnancy, gender identity, national origin, age, genetic information, sexual orientation, or any other protected status in accordance with local, state, or federal laws.


The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

Nearest Major Market: Eugene

Job Segment: Home Care, Nursing, Patient Care, Medical, Law, Healthcare, Legal