Care Progression RN

City of Hope•Irvine, CA

8d•Onsite

About The Position

The Care Progression RN is responsible for advancing care progression, discharge readiness, and interdisciplinary coordination throughout the patient’s hospitalization. The RN ensures each patient has a clearly defined Expected Discharge Date (EDD), barriers are proactively identified and addressed, and teams remain aligned on daily care progression goals. This position is for full-time, 10 hour shifts (4 shifts per week), and day shifts. The scheduled shifts will primarily be on the weekdays (Monday-Friday), but may require weekends or extended shifts based on patient needs.

Requirements

Bachelor’s Degree or Master’s degree in Nursing is required
Current California RN license
Minimum of three (3) years related experience as a RN
Basic Life Support (BLS) CPR Card through American Heart Association

Nice To Haves

Acute Care clinical experience in oncology
Strong knowledge of discharge planning and care coordination processes
Familiarity with cancer treatment modalities - chemotherapy, radiation, immunotherapy
Experience participating in interdisciplinary rounds, care coordination, or discharge planning activities
Experience with Epic EMR and care progression or length-of-stay improvement initiatives

Responsibilities

Lead daily interdisciplinary rounds to ensure alignment on discharge readiness, care progression priorities, and clinical goals.
Ensure each patient has a documented Expected Discharge Date (EDD) updated daily.
Monitor and communicate barriers affecting timely care progression.
Coordinate real-time escalation for clinical or operational delays.
Conduct clinical assessments to determine readiness for discharge or next level of care.
Identify and mitigate barriers such as pending diagnostics, specialty consults, therapy needs, medication reconciliation, and home readiness.
Partner with Case Management and Social Work on post-acute planning and next level of care.
Educate bedside RNs on discharge planning best practices and early identification of barriers.
Reinforce Expected Discharge Date (EDD) focused shift practices.
Mentor nursing staff regarding 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 related to home care readiness, symptom management, and follow-up needs (using HCAHPS 6 critical points of DC information as 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, timely documentation of EDDs, barriers, and care progression steps in the EMR.
Track care progression milestones and provide reports to nursing and operational leadership.