Role Overview: The RN Care Coordinator Sr. assesses patients’ transitional care needs, collaborates with the care team, and manages discharge planning to ensure seamless patient progression. They serve as a clinical resource, facilitating care progression, addressing barriers, and coordinating post-discharge resources. The role involves conducting psychosocial and functional assessments, attending interdisciplinary rounds, and engaging with patients and families to develop personalized discharge plans.
Key Responsibilities:
- Assessment: Evaluate psychosocial risks, insurance coverage, and patient needs; collaborate with physicians and care teams.
- Care Progression: Facilitate communication, identify delays, and resolve obstacles to efficient treatment and discharge.
- Disposition Planning: Manage discharge processes, coordinate post-acute referrals, and ensure care plan consensus.
- Documentation: Maintain accurate, timely records of assessments, interactions, and services provided.
- Precepting/Mentoring: Support onboarding of new staff and mentor less experienced colleagues.
- Professional Development: Complete competency assessments and contribute to departmental goals.
Qualifications & Skills:
- Associates or Diploma in Nursing required; Bachelor’s preferred.
- Minimum of 3 years’ acute care hospital nursing experience.
- At least 2 years’ hospital-based case management experience.
- Current BLS certification; RN licensure (single-state or multi-state compact).
Our team values collaboration, innovation, and dedication, providing opportunities for meaningful work and professional growth in a supportive environment.