Care Progression RN

City of Hope•Irvine, CA

About The Position

The Care Progression RN advances care progression, discharge readiness, and interdisciplinary coordination throughout patients’ hospitalizations. The role ensures each patient has a clearly defined Expected Discharge Date (EDD), proactively identifies and addresses barriers, and keeps teams aligned on daily care progression goals. It is a full-time role with 10-hour day shifts, four shifts per week, and rotating weekends. The RN leads daily multidisciplinary rounds, assesses discharge readiness and readiness for the next level of care, coordinates escalation of clinical or operational delays, and partners with Case Management and Social Work on post-acute planning. The role also coaches bedside RNs on discharge planning and barrier identification, supports patient and family education, collaborates with House Supervisors and hospital leadership on capacity needs, and documents and reports care progression milestones in the EMR. The position is based in a fast-paced oncology hospital setting and involves frequent unit-to-unit mobility, interdisciplinary rounds, huddles, and meetings.

Requirements

Bachelor’s degree or master’s degree in Nursing.
Current California RN license.
Minimum of three years of acute care RN experience in a hospital setting.
Basic Life Support (BLS) CPR card through the American Heart Association.
Strong knowledge of discharge planning and care coordination processes; the posting notes Case Manager in an acute care hospital.
Experience participating in interdisciplinary rounds, care coordination, or discharge planning activities.
Commitment to ongoing professional development and evidence-based practice.

Nice To Haves

Acute care clinical experience in oncology.
Familiarity with cancer treatment modalities, including chemotherapy, radiation, and immunotherapy.
Experience with Epic EMR and care progression or length-of-stay improvement initiatives.

Responsibilities

Lead daily multidisciplinary rounds to align teams on discharge readiness, care progression priorities, and clinical goals.
Ensure each patient has a documented Expected Discharge Date (EDD) and update it daily.
Monitor and communicate barriers affecting timely care progression.
Coordinate real-time escalation of clinical or operational delays.
Conduct clinical assessments to determine readiness for discharge or the next level of care.
Identify and mitigate barriers, including pending diagnostics, specialty consults, therapy needs, medication reconciliation, and home readiness.
Partner with Case Management and Social Work on post-acute planning and the next level of care.
Educate bedside RNs on discharge planning best practices and early identification of barriers.
Reinforce EDD-focused shift practices and mentor nursing staff on complex oncology discharge needs and transitions of care.
Ensure patients and families understand the plan of care, treatment milestones, and anticipated discharge timeline.
Support patient education on home care readiness, symptom management, and follow-up needs, using HCAHPS 6 critical points of discharge information as a guide.
Partner with House Supervisors and hospital leadership to align projected discharges with capacity needs.
Participate in daily capacity huddles and provide discharge readiness updates.
Ensure accurate and timely EMR documentation of EDDs, barriers, and care progression steps.
Track care progression milestones and report them to nursing and operational leadership.