RN Care Coordinator Acute - Care Coordination; 1.0FTE, Day Shift

UnityPoint Health•Madison, WI

3d•Onsite

About The Position

The RN Care Coordinator Acute coordinates patient care across the acute care continuum by partnering with physicians, nursing, social services, and ancillary teams to develop and implement an interdisciplinary plan of care. Conducts admission and ongoing assessments, monitors clinical progress and resource utilization, and leads safe transitions of care, including discharge planning and referrals to community services. Educates patients and families, addresses psychosocial and social determinants of health barriers, and collaborates with Utilization Management regarding level of care considerations. Serves as the central communicator to promote collaboration, continuity, and achievement of defined outcomes such as reduced readmissions and optimized length of stay.

Requirements

BSN from an accredited School of Nursing. Other nursing degrees will be considered on a case by case basis.
3 years Clinical RN experience in acute care or hospital settings, collaborating with multidisciplinary teams and caring for specific patient populations.
Registered Nurse in State of WI
Knowledge of discharge planning, including understanding disease processes and their impact on patient/family activities of daily living and lifestyle, and community resources for health care and equipment.
Proficient computer skills.
Flexible in responding to the changing needs of the organization; demonstrates critical thinking and problem-solving skills
Positive skills in communication and experience which indicate successful ability to assume responsibilities within a team context.
Must be willing to be a productive team member and interested in contributing to the continuous improvement of quality patient care.

Nice To Haves

1-2 years of home care
1-2 years of experience in case management or hospital discharge planning
Knowledge of health care environment and payer-based rules
Certification in Case Management

Responsibilities

Coordinates patient care across the acute care continuum by partnering with physicians, nursing, social services, and ancillary teams to develop and implement an interdisciplinary plan of care.
Conducts admission and ongoing assessments, monitors clinical progress and resource utilization.
Leads safe transitions of care, including discharge planning and referrals to community services.
Educates patients and families.
Addresses psychosocial and social determinants of health barriers.
Collaborates with Utilization Management regarding level of care considerations.
Serves as the central communicator to promote collaboration, continuity, and achievement of defined outcomes such as reduced readmissions and optimized length of stay.