Care Coordination Nurse

About the role

As our Care Coordination Nurse at Mercy Gilbert Medical Center, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.

Every day you will:

• Conduct and update discharge planning assessments
• Facilitate multidisciplinary collaboration for timely and smooth transitions to post-acute care settings
• Oversee implementation of discharge plans
• Optimize inpatient resource utilization
• Identify and mitigate readmission risks
• Provide essential patient education and advocacy

Responsibilities

• Complete and document a discharge planning assessment on patients identified by the designated screening process, or upon request
• Reassess the patient as appropriate and update the plan accordingly
• Facilitate the development of a multidisciplinary discharge plan, engaging health team members, the patient and/or patient representative, and post-acute care providers in accordance with the patient’s clinical or psychosocial needs, choices, and available resources
• Oversee and evaluate the implementation of the discharge plan
• Collaborate with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence-based guidelines/criteria
• Collaborate 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 the patient’s clinical needs

Requirements

• Two (2) years of acute hospital clinical experience or a Master’s degree in Case Management or Nursing field in lieu of one (1) year experience
• Graduate of an accredited school of nursing
• Registered Nurse: AZ or Compact license
• American Heart Association Basic Life Support, within 90 days
• Knowledge of managed care and payer environment
• Critical thinking and problem-solving skills
• Ability to collaborate effectively with multiple stakeholders
• Understanding of how utilization management and case management programs integrate
• Ability to work as a team player and assist other members of the team where needed
• Knowledge of CMS standards and requirements

Qualifications

• Discharge Planning
• Bachelor’s Degree in Nursing (BSN) or related healthcare field
• At least five (5) years of nursing experience
• Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN)

Benefits

Dignity Health offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000.

Pay

$39.18 - $58.28 /hour