Care Coordination Nurse

CommonSpirit Health • Gilbert, AZ

3d • Onsite

About The Position

Where You’ll Work Where Compassion Meets Innovation: Join Our Growing Family at the New Mercy Gilbert Women's and Children's Pavilion At Mercy Gilbert Medical Center, we believe that Hello Humankindness is more than a slogan—it is our calling. We are expanding our legacy of excellence with the launch of our state-of-the-art Women’s and Children’s Pavilion: a destination designed to provide seamless, life-changing care from the earliest stages of pregnancy through the milestones of childhood. We are looking for passionate, forward-thinking professionals who are as committed to social justice and health equity as they are to clinical excellence. We know that the best healthcare is equitable healthcare, and we are searching for team members who advocate for the dignity of every patient, regardless of their background or circumstance. You belong here if you: Thrive on Innovation: You are ready to embrace new technologies and creative solutions that evolve alongside the modern healthcare landscape. Value True Collaboration: You want to work alongside a diverse, multidisciplinary team that views teamwork as the foundation of patient success. Seek Meaningful Impact: You aren't just looking for a job; you are looking for a place where your skills directly improve community outcomes and address health disparities. Are Driven by Purpose: You believe that quality care is a human right, and you are ready to dedicate your talents to making that a reality for the families of Gilbert and beyond. When you join our Pavilion, you are joining a culture that celebrates the individual. We provide the tools, the technology, and the environment you need to deliver the care your patients deserve. Here, your compassion is empowered, your expertise is respected, and your growth is a priority. Every day, you will have the opportunity to make a tangible difference—ensuring that every mother, every child, and every family feels heard, supported, and cared for. Your purpose starts here. Join us in shaping the future of pediatric and maternal medicine.

Requirements

• Two (2) years of acute hospital clinical experience or a Masters 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 Basic Life Support, within 90 days
• Knowledge of managed care and payer environment
• Must have critical thinking and problem-solving skills
• Collaborate effectively with multiple stakeholders
• Understand how utilization management and case management programs integrate
• Ability to work as a team player and assist other members of the team where needed
• Knowledge of CMS standards and requirements

Nice To Haves

• 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)

Responsibilities

• Lead comprehensive care progression and discharge planning for diverse inpatient population (birth to adult).
• Orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources.
• Advocate for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.
• Meticulously conduct and update discharge planning assessments.
• Facilitate multidisciplinary collaboration for timely and smooth transitions to post-acute care settings.
• Oversee implementation of discharge plans.
• Optimize inpatient resource utilization.
• Identify and mitigate readmission risks.
• Provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.
• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request.
• Reassess the patient as appropriate and update the plan accordingly.
• 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 patients 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.

Benefits

• Education Benefit program for benefit-eligible employees after 180 days: debt relief and student loan assistance.
• Full-time employees can receive up to $18,000 over five years.
• Part-time employees can receive up to $9,000.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level