Registered Nurse (RN) CSO Care Coordinator

Christiana Care Health Services • Newark, DE

17d • $41 - $66

About The Position

Advance your nursing career in a role designed for clinical excellence, autonomy, and long‑term professional growth. The Care Coordinator II within our Center for Surgical Optimization offers an opportunity for experienced nurses to apply advanced clinical knowledge while enjoying a predictable, weekday schedule—free from nights, weekends, and holidays.

The Care Coordinator II plays a key role in managing and optimizing care for patients undergoing joint replacement and spine surgery . This position partners closely with surgeons, primary care providers, interdisciplinary teams, and family members to ensure coordinated, evidence‑based care across the full continuum—from pre‑operative planning through post‑acute transitions.

This is an exempt position with 8‑hour day shifts , with start times between 7:00–8:00 AM based on patient census.

ChristianaCare invests in you—professionally and personally.

Requirements

• BSN is required.
• RN, licensed to practice nursing in the state of Delaware
• BLS required
• Three or more years of clinical experience in acute care or Peri anesthesia care required
• Relevant, direct orthopedic/spine experience as a professional nurse

Nice To Haves

• Master’s degree in nursing preferred

Responsibilities

• Completes and documents a preoperative health assessment screening and perioperative history and assessment for patients scheduled for joint replacement or spine surgery according to established criteria.
• Reviews clinical documentation and communicates findings with providers of the CSO Team , 7S/7E and attending physician/anesthesia team and revises plan of care as needed based on findings.
• Demonstrates skills and knowledge necessary to provide care to adolescent, adult and geriatric populations, including knowledge of growth and development, the ability to obtain and interpret information to identify patient needs and to provide the appropriate care needed.
• Assesses patient/family learning needs/barriers and carries out teaching measures and makes all appropriate referrals utilizing available resources.
• Completes follow-up phone calls for patient discharge and reports on findings in electronic medical records, contacting surgeons with questions or concerns.
• Demonstrates ability to prioritize workflow to complete tasks.
• Establishes methods that support reciprocal communication between physician offices, lab services, specialty services, 7S/7Eand the CSO team.
• Assesses patient post discharge care needs, initiates plan of care, and initiates inclusion of the necessary interdisciplinary team members.
• Case Management duties prior to surgery include pre-referrals in Ensocare for Home Health Care (HHC) / infusion services, lab draws, durable medical equipment such as hospital beds, walkers, commodes, home oxygen, and transportation home
• Facilitates daily and as needed multidisciplinary rounds, team and family meetings, rounds daily on 7S/7E ensuring plan for discharge matches pre-operative assessment and making necessary changes as appropriate supportive of the joint/spine program to HHC/physical therapy inpatient in home or outpatient.
• Ongoing updates for 7S /7E include DME floor stock, and communication tool used by charge nurse and Nurse Practitioner.
• Scripted calls after discharge and appropriate follow-up with surgeon’s office to secure prescriptions needed and any follow-up appointments.
• Care feedback coordinated with Program and Unit Manager as needed.
• Participates in system-wide care management and other program activities as requested.
• This includes rounding on 7S joint replacement patients/7Eand CSA spine patients for discharge preparedness, multi-disciplinary rounds and updating tracking forms.
• Maintains collaborative professional working relationships with clinicians and administrative staff necessary to develop and implement a successful cross continuum care management for patients undergoing joint replacement /spine surgery.
• Collaborates with Total Joint Replacement/Spine Program Manager on ongoing performance improvement initiatives.
• Demonstrates understanding and application of CCHS values and behaviors in daily work.
• Serves as a patient advocate when barriers impede progress and/or collaboration between practitioners involved in care that is fragmented.
• Performs patient education via telephone or in person using teach back principals; collaborates with patient and family to establish realistic goals and activities to enhance patient self-management and participation in plan of care through discharge.
• Use theoretical and educational frameworks and expert clinical knowledge base to promote, develop and provide patient and family education.
• Assumes responsibility for personal growth and is willing to share knowledge with co-workers, management, physicians and other healthcare providers.
• Utilizes effective verbal and written communication skills with patients, families, co-workers, management, physicians, and other members of the healthcare team.

Benefits

• Medical, dental, and vision coverage from day one
• Generous PTO with a PTO pay‑out option
• Care.com membership and backup dependent care through Care@Work
• Tuition assistance, with pre‑paid tuition for select nursing programs
• Retirement planning, financial mentoring, plus 403(b) and defined contribution plans
• On‑site gym access and fitness & wellness reimbursement
• Exclusive employee discounts on travel, entertainment, and more
• ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program.
• To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level