Care Coordination RN

St Josephs Medical Center • Stockton, CA

1d • $67 - $87 • Onsite

About The Position

The RN Care Coordinator helps patients and their families navigate the healthcare continuum and coordinates individualized care plans to support optimal health outcomes and seamless transitions across care settings. The role collaborates with interdisciplinary teams to assess patient needs, coordinate services, develop comprehensive care plans, advocate for patients, facilitate care transitions, monitor progress toward goals, and connect patients with appropriate community and healthcare resources. Success requires strong clinical judgment, communication, and collaboration skills, along with experience coordinating care across disciplines and settings while maintaining a patient-centered approach.

Requirements

• Graduate of an accredited school of nursing.
• At least two years of acute hospital clinical experience, or a master’s degree in Case Management or a Nursing field in lieu of one year of experience.
• Active Registered Nurse (RN) license in the State of California.
• Basic Life Support (BLS) certification from the American Heart Association, required within three months of hiring.
• Knowledge of CMS standards and requirements.
• Ability to apply clinical guidelines to ensure progression of care.
• Critical thinking and problem-solving skills.
• Ability to collaborate effectively with multiple stakeholders.
• Professional communication skills.
• Understanding of how utilization management and case management programs integrate.
• Ability to work as a team player and assist other team members as needed.
• Ability to thrive in a fast-paced, self-directed environment.
• Ability to prioritize work and delegate where indicated.
• Strong organization and time management skills.

Nice To Haves

• Knowledge of managed care and the payer environment.
• Bachelor’s degree in Nursing (BSN) or a related healthcare field.
• At least five years of nursing experience.
• Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM certification.

Responsibilities

• Complete and document discharge planning assessments for patients identified through the designated screening process or by request, reassessing patients as appropriate and updating the plan accordingly.
• Facilitate multidisciplinary discharge planning, engaging relevant health team members, the patient or patient representative, and post-acute care providers in line with clinical or psychosocial needs, preferences, and available resources.
• Collaborate with the healthcare team and post-acute service providers to support timely, smooth transitions to appropriate post-acute services based on patients’ clinical needs.
• Identify readmission risks and implement interventions to mitigate those risks for at least 30 days.
• Provide patient education and advocacy.
• Assess patient needs, coordinate services, develop care plans, monitor progress toward goals, and connect patients with appropriate community and healthcare resources.

What This Job Offers

• Job Type: Full-time