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.
• Orchestrates comprehensive care progression and discharge planning for diverse inpatient population (birth to adult).
• 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 patient’s 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.
• Conducts and updates discharge planning assessments, documenting them on those patients identified by the designated screening process, or upon request.
• Reassesses the patient as appropriate and updates the plan accordingly.
• Ensures seamless, equitable transitions of care by overseeing implementation of discharge plans, optimizing inpatient resource utilization, identifying and mitigating readmission risks, and providing essential patient education and advocacy.
• Advocates for patients by addressing complex factors like spiritual needs and socioeconomic barriers.

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.
• Work as a team player and assist other members of the team where needed.
• 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).

Benefits

Where You'll Work
Are you ready to join a healthcare family where your values align with ours? At Dignity Health – Yavapai Regional Medical Center (DH-YRMC), now a proud part of CommonSpirit Health, a not-for-profit integrated healthcare provider, our core mission guides every decision and every interaction. Here, you'll discover more than just a job; you'll find rewarding career opportunities across a comprehensive network of inpatient and outpatient services. From a vibrant community hospital, YRMC has grown into a leading regional healthcare system. Today, that means you could be making an impact at:

• Two state-of-the-art acute care hospitals
• A robust network of primary and specialty care clinics
• Modern outpatient health and wellness services
• Acclaimed cardiac diagnostic centers
• Advanced outpatient medical imaging facilities

Pay Range

$39.18 - $58.28 /hour