Care Coordination RN

The Care Coordinator RN (CC RN) is responsible for assessing patients' transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure care goals are met. They collaborate with physicians, care teams, and community resources to develop and implement individualized discharge and care plans, addressing medical, psychosocial, and social determinants of health. Key duties include conducting psychosocial assessments, managing discharge planning, facilitating communication among care providers, and resolving barriers to timely discharge. Documentation of assessments, care progression, and interventions is essential. The role requires a minimum of one year of acute care nursing experience, an RN license (single or multi-state), BLS certification, and strong communication, organizational, and problem-solving skills. Candidates should be self-directed, able to handle stress, and work collaboratively in a fast-paced environment, supporting continuous professional development and departmental goals. Additional responsibilities include supporting interdisciplinary rounds, referring patients for social work when needed, and ensuring compliance with healthcare policies and regulations.