OverviewRN Care Coordinators manage patient care transitions, collaborating with various healthcare providers to ensure timely, cost-effective, and high-quality discharge planning that addresses patients' individual needs and preferences.Responsibilities
Completes and documents a discharge planning assessment on those patients identified by the designated screening process or upon request.Reassess the patient as appropriate and update the plan accordingly.
Facilitates the development of a multidisciplinary discharge plan engaging other relevant health team members the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs choices and available resources.
Oversees and evaluates the implementation of the discharge plan.
Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
Responsible for delivery of appropriate patient notifications and related documentation
Responsible for patient education and advocacy.
Qualifications
Graduate of an accredited school of nursing.
Minimum two (2) years of acute hospital clinical experience
RN license in the state(s) covered is required.
BLS required within 3 months of hiring if located within hospital
Pay Range$32.70 - $48.65 /hourWe are an equal opportunity/affirmative action employer.