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

About the role

The RN Complex Care Coordinator is responsible for assessing and managing care transitions for complex patients, ensuring safe discharges, and coordinating across the healthcare continuum.

Responsibilities

• Conduct comprehensive clinical and psychosocial assessments for high-risk patients.
• Develop and implement individualized discharge plans in collaboration with patients, families, and care teams.
• Coordinate post-acute care referrals and facilitate smooth transitions to appropriate care settings.
• Serve as a resource for complex psychosocial, resource, and end-of-life care needs.
• Partner with interdisciplinary teams, community agencies, and support services to address social determinants of health.
• Mentor and precept new staff and interns, sharing expertise on complex cases.
• Document assessments, interventions, and care plans accurately and timely in electronic health records.
• Support quality improvement initiatives and adhere to organizational policies and standards.

Qualifications & Skills

• Minimum 3 years healthcare experience in acute care or related settings, with at least 2 years in care coordination.
• Associates or Bachelor's Nursing degree; RN licensure required (multi-state compact preferred).
• Current BLS certification.
• Excellent communication, assessment, organizational, and problem-solving skills.
• Knowledge of regulations, community resources, and care coordination best practices.
• Ability to work collaboratively, handle stressful situations, and adapt in a fast-paced environment.