Care Coordinator RN
About The Position
The RN Care Coordinator assesses, plans, and facilitates comprehensive patient care across the continuum to support optimal outcomes and a strong patient experience. The role advocates for patients and collaborates with physicians, nursing staff, other departments, insurers, and post-acute providers to support timely, high-quality transitions. Success requires clinical judgment, communication and advocacy skills, and a strategic approach to optimizing care. The Care Coordinator completes and documents discharge planning assessments for patients identified through the designated screening process or by request, reassesses patients as appropriate, and updates plans. The role develops and oversees multidisciplinary discharge plans that reflect patients’ clinical and psychosocial needs, choices, and available resources. It also supports evidence-based progression of care and appropriate inpatient resource utilization, coordinates transitions to suitable post-acute services, and identifies and addresses readmission risks for at least 30 days.
Requirements
- Graduate of an accredited school of nursing.
- At least two years of acute hospital clinical experience upon hire, or a master’s degree in another case management or nursing field and one year of experience upon hire.
- Registered Nurse license in Washington upon hire.
- Basic Life Support (CPR) certification within 90 days.
Nice To Haves
- Bachelor of Science in Nursing preferred.
- At least five years of nursing experience preferred.
- Certified Case Manager certification preferred.
- Accredited Case Manager certification preferred.
Responsibilities
- Complete and document discharge planning assessments for patients identified through the designated screening process or by request.
- Reassess patients as appropriate and update their care plans.
- Facilitate development of multidisciplinary discharge plans with relevant health team members, patients or their representatives, and post-acute care providers, based on clinical and psychosocial needs, choices, and available resources.
- Oversee and evaluate implementation of discharge plans.
- Collaborate with the multidisciplinary team to support progression of care and appropriate use of inpatient resources using established evidence-based guidelines or criteria.
- Collaborate with the healthcare team and post-acute service providers to ensure timely, smooth transitions to appropriate post-acute services and settings.
- Identify readmission risks and implement interventions to mitigate them for at least a 30-day period.
- Advocate for patients and coordinate with physicians, nursing, departments, insurers, and post-acute providers.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
