Patient Care Coordinator (RN) - Nurse Admin (Days)

Tanner Health•Villa Rica, GA

About The Position

The Patient Care Coordinator (PCC) is a Registered Nurse with a bachelor's degree in nursing who educates patients about their health conditions and develops care plans to address their discharge needs. The PCC facilitates communication among patients, families, caregivers, social service organizations, and healthcare providers, and coordinates care and resources to support safe returns home and achieve quality and desired patient outcomes. The role partners with unit teammates and leaders to support effective patient flow and capacity, reduce length of stay, and decrease readmissions. The PCC assesses, plans, implements, and directs patient care coordination across the continuum. The role includes coordinating discharge plans, improving outcomes and patient experience, preventing errors and hospital-acquired conditions, supporting patient and family engagement, and promoting evidence-based, patient-centered care. The PCC also teaches, coaches, and mentors staff, patients, and families about discharge planning, home resources, quality care, and improved outcomes, and advocates for effective interdisciplinary collaboration. The position involves frequent interaction with people inside and outside the organization. Work requires judgment in solving complex problems and coordination with other departments. The work environment includes considerable exposure to occupational risks and potential bloodborne pathogens and other infectious or biohazardous materials. The role requires moderate physical effort, including handling lightweight materials for about half the day and occasional handling of medium-weight objects.

Requirements

Bachelor's degree in nursing.
Two years of related experience, including experience in an acute healthcare setting involving direct patient care.
Working knowledge of specialized practices, equipment, and procedures.
Current Georgia Registered Nurse license or multistate nursing license.
Healthcare Provider CPR certification.
Ability to identify opportunities to improve clinical operations and implement change, including constructively challenging established practices.
Strong, positive service-oriented attitude toward internal and external customers, patients, families, and the care team.
Excellent communication skills and ability to form relationships quickly.
Ability to use technology to support real-time education at the point of care.
Ability to use continuum-of-care resources and collaborate consistently with families and caregivers to expedite discharge planning.

Nice To Haves

Experience with Core Measures.
Experience with programs related to Hospital Acquired Conditions.
Experience with wound and ostomy care.
Experience with Value Based Purchasing.

Responsibilities

Assess, plan, implement, and direct patient care coordination to achieve optimal outcomes and effective discharge plans across the continuum of care.
Assess patient and caregiver needs on an ongoing basis and coordinate care to improve satisfaction and outcomes, decrease readmissions, errors, and near misses, and prevent hospital-acquired conditions.
Use care coordination resources, tools, metrics, and evidence-based information to continually improve care and outcomes.
Develop and implement care plans using leadership, knowledge, resources, and skills to improve outcomes, support discharge home, and reduce healthcare costs.
Lead care coordination and patient and family engagement to maximize resources and provide patient-centered, evidence-based care.
Support implementation and evaluation of professional standards and policies that affect patient care.
Teach, coach, and mentor staff, patients, and families about discharge planning, home resources, quality care, and improved outcomes; provide or delegate patient education.
Ensure patients, families, and caregivers are informed and included in care coordination, and promote interdisciplinary collaboration.
Partner with unit teammates and leaders to support common goals and effective patient flow and capacity.
Direct, collaborate on, and coordinate continuum-of-care services and discharge plans.
Detect, observe, and report compliance variances to the appropriate supervisor, Compliance Officer, or Hotline.