Care Coordination RN

About the role

The Care Coordinator RN (CC RN) assesses patients' transitional care needs, manages care across the continuum, and engages with patients and families to ensure optimal discharge planning and care progression.

Responsibilities

• Conducting psychosocial and functional assessments, developing individualized discharge plans, and facilitating communication among care teams and patients.
• Managing discharge processes, identifying and resolving barriers, and coordinating post-acute referrals.
• Collaborating with physicians, social workers, and other disciplines to ensure timely care progression and resource utilization.
• Documenting assessments, care plans, and interactions accurately and promptly.
• Supporting professional development, mentoring, and adhering to organizational policies.

Qualifications & Skills

• Associate or Bachelor's degree in Nursing; RN licensure (single or multi-state), BLS certification.
• Minimum one year of acute care nursing experience.
• Excellent communication, assessment, organizational, and problem-solving skills.
• Knowledge of healthcare regulations, community resources, and patient-centered care.