Role: The Care Coordinator RN (CC RN) assesses transitional care needs, manages care coordination across the continuum, and engages patients and families to ensure care plans are met.
Responsibilities: Conducts psychosocial and functional assessments, collaborates with interdisciplinary teams to develop and implement discharge plans, facilitates patient/family education, and addresses barriers to timely discharge. Manages all aspects of discharge planning, including post-acute referrals and resource coordination. Ensures accurate documentation of assessments, care progression, and discharge plans, and supports continuous professional development.
Qualifications & Skills: Requires an RN license (single or multi-state), BLS certification, and at least 1 year of acute care nursing experience. Must possess excellent communication, organizational, and problem-solving skills, with the ability to work collaboratively in a fast-paced environment. Knowledge of healthcare regulations, community resources, and patient-centered care principles is essential.
Key Duties: Assess patient needs, coordinate interdisciplinary care, facilitate efficient discharge processes, identify and resolve care barriers, and maintain thorough documentation to promote optimal patient outcomes.