Role Overview: The Care Coordination Daytime Team Lead (RN) is responsible for leading and mentoring a care coordination team to support patients during hospitalization or ambulatory case management.
Key Responsibilities:
Conduct comprehensive patient assessments, including physical, psychosocial, and socioeconomic factors. Develop and implement discharge and transitional care plans, collaborating with interdisciplinary teams. Assist with resource identification, insurance issues, and financial needs assessments to facilitate timely discharges. Document all assessments and care plans accurately in the medical record, ensuring compliance with documentation standards. Provide hands-on support, coaching, and mentorship to team members, promoting a positive work environment. Oversee workflow, participate in staff scheduling, and assist in interviewing and onboarding new team members. Engage in quality improvement initiatives, process enhancement projects, and performance metrics analysis. Help facilitate patient advocacy, education, and discharge communication, ensuring culturally sensitive care. Qualifications & Skills: Minimum 3 years recent care coordination experience in a hospital setting, with exposure to multiple medical populations preferred. Strong interpersonal, verbal, and written communication skills; confident in high-stress conversations. Ability to organize team functions, coach staff, and lead change effectively. Proficiency in assessments, discharge planning, and documentation in electronic health record systems. Licenses/certifications: RN license, BLS, and relevant credentials as required. Key Duties: Support care coordinators during patient transitions, monitor quality indicators, and ensure comprehensive care delivery. Lead process improvements and team training initiatives. Coordinate with payers and community resources to resolve discharge delays and facilitate post-discharge support.