Nurse Care Coordination

Job Summary

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.

Responsibilities

• Leverage your nursing expertise to orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources.
• Advocate for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.
• Meticulously conduct and update discharge planning assessments, facilitating 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, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.
• Complete and document 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.
• Facilitate 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 patient's clinical or psychosocial needs, choices, and available resources.
• 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 patients' 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 BLS, within 90 days
• Knowledge of managed care and payer environment
• Critical thinking and problem-solving skills
• Collaborate effectively with multiple stakeholders
• Understand how utilization management and case management programs integrate
• Knowledge of CMS standards and requirements

Preferred

• 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)

Where You'll Work

Hello humankindness: Join a Legacy of Healing at Saint Joseph’s Hospital and Medical Center (SJHMC) in Phoenix, AZ. A 571-bed nonprofit founded by the Sisters of Mercy over 125 years ago, SJHMC is more than a hospital; it's a global destination for life-changing care, embracing patients with humankindness. Here, your calling will flourish. We're not just a workplace; we're a community dedicated to a mission of service. Leaders in specialized care include Barrow Neurological Institute (BNI), a world-renowned center for groundbreaking neurological research and innovative treatments, and Norton Thoracic Institute (NTI), a national leader in advanced thoracic care with pioneering surgical techniques. The Level I Trauma Center provides immediate, comprehensive care for critically injured patients 24/7. SJHMC offers a culture of excellence and well-being, fostering professional and personal growth. We're committed to community and collaboration, with a network dedicated to global health and well-being. Join a legacy, shape a future, and be part of a family of dedicated professionals at the forefront of medical innovation, united by the power of humankindness.

Pay Range

$39.18 - $58.28 /hour