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

Role Overview

The RN Complex Care Coordinator assesses and manages the needs of complex, high-risk patients in the acute care setting, coordinating care transitions and discharge planning. They serve as a clinical and psychosocial resource, collaborating with patients, families, and the care team to develop safe, timely discharge plans that address medical, social, and resource needs.

Key Responsibilities

• Conduct comprehensive clinical and psychosocial assessments for complex patients.
• Coordinate discharge planning, including resource identification and barrier resolution.
• Partner with interdisciplinary teams to facilitate timely transitions to appropriate care levels.
• Provide guidance on community resources, social determinants of health, and end-of-life care planning.
• Mentor and precept new care coordinators and interns, sharing expertise on complex cases.
• Document assessments, care plans, and progress accurately in electronic health records.
• Support quality improvement and protocol development to optimize patient outcomes.

Qualifications & Skills

• Minimum of 3 years in healthcare, with at least 2 years in care coordination in an acute care setting.
• Strong clinical, social, and resource management expertise.
• Excellent communication, assessment, and interdisciplinary collaboration skills.
• Ability to navigate community resources and address complex psychosocial issues.
• Experience in mentoring, precepting, and participating in performance improvement initiatives.