Registered Nurse - Acute Care - Care Coordination - Complex Cases - Full-Time Days

About the role

The RN Complex Care Coordinator assesses and manages care for complex patients, ensuring safe and timely discharges across the continuum. They serve as a clinical and psychosocial resource, coordinating multidisciplinary efforts and engaging patients and families in decision-making.

Responsibilities

• Perform comprehensive assessments of high-risk patients, addressing clinical, psychosocial, and resource needs.
• Develop and implement individualized discharge plans, overcoming barriers and coordinating post-acute care referrals.
• Partner with care teams, community resources, and families to support patient transitions and resource access.
• Document assessments, interventions, and progress accurately in electronic health records.
• Mentor and precept new staff and interns, sharing expertise on complex social and clinical issues.
• Support quality improvement initiatives and comply with organizational policies.
• Participate in interdisciplinary rounds and facilitate family meetings to optimize care outcomes.

Requirements

• Associates or Bachelor’s Nursing degree (BLS and RN licensure required).
• Minimum 3 years healthcare experience, with at least 2 years in care coordination within acute care.
• Strong communication, assessment, organizational, and problem-solving skills.
• Knowledge of regulations, community resources, and multidisciplinary collaboration.
• Ability to handle stressful situations and work effectively in fast-paced environments.