PNW PACE Care Coordination RN

MultiCare Health System•Tacoma, WA

1d•$109,262 - $194,251•Hybrid

About The Position

The Care Coordination RN is responsible for all nursing-related enrollment work and for leading clinical discharge planning and bedside representation for PACE participants across home, hospital, clinic, and post-acute settings, including conducting in-home assessments as part of participant enrollment. This role serves as a key liaison between hospital teams, PACE IDT members, and community providers to ensure safe, timely, and coordinated transitions of care across all care environments. The Care Coordination RN promotes continuity of care by proactively identifying clinical risks, addressing gaps in care plans, and ensuring participants’ needs are effectively communicated and supported throughout the transition process.

Requirements

Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education agreement
Current Registered Nurse license in Washington State or Multistate License endorsement (MLS)
Current BLS Certification
Three (3) years of recent clinical experience in specialty area

Nice To Haves

Advanced degree in Nursing (MSN, PhD, DNP, ARNP) preferred

Responsibilities

Complete all initial nursing assessments for new PACE enrollments
Complete Semi-Annual or Change of Condition Assessments as indicated by IDT
Serve as primary RN contact in hospitals and SNFs and other post-acute care facilities
Coordinate clinical discharge planning and medication reconciliation in collaboration with the Social Work Department
Communicate clinical changes to RNCMs
Provide structured handoffs at transition completion