Patient Care Coordinator RN

About the role

The Patient Care Coordinator manages and coordinates care for the acute inpatient population, collaborating with physicians, nursing, social workers, and community providers to ensure seamless patient progression and safe discharges.

Responsibilities

• Conducts initial assessments within 24 hours of admission to identify discharge needs and develops appropriate transition plans.
• Documents care plans, updates, and barriers daily, ensuring timely care progression with the healthcare team.
• Participates in daily rounds, monitors patient progress, and manages delays or obstacles to discharge.
• Coordinates post-acute care referrals, including home health, SNF, rehab, and durable medical equipment, and communicates follow-up plans to patients and families.
• Collaborates with social workers on long-term care, financial assistance, and community services, and escalates care delays or systemic issues.
• Ensures compliance with safety policies, participates in quality assurance programs, and maintains professionalism and teamwork.

Qualifications

• At least one year of acute care nursing experience
• Associate degree in nursing
• Active RN licensure (multi-state credentials required)
• BLS certification
• Experience with electronic medical records
• Strong communication, critical thinking, and organizational skills

Preferred qualifications

• Recent acute care or case management experience
• BSN