RN Care Coordinator

CommonSpirit Health • San Bernardino, CA

3d

About The Position

The RN Care Coordinator serves as a clinical navigator supporting patients’ recovery and care transitions from admission through post-acute care. The role assesses, plans, and facilitates care across the continuum, advocates for patients by identifying and addressing barriers, and collaborates with multidisciplinary teams, physicians, insurers, and post-acute providers to support clinical outcomes and reduce avoidable readmissions. The position requires advanced clinical knowledge and understanding of utilization management, strong communication and negotiation skills, and the ability to balance patient choice with evidence-based practice while complying with federal and state regulations in a fast-paced hospital environment.

Requirements

• At least two years of acute hospital clinical experience, or a master’s degree in Case Management or a Nursing field in lieu of one year of experience.
• California RN license.
• Graduation from an accredited school of nursing.
• AHA BLS card.
• Ability to pass the annual inter-rater reliability test for utilization review products used.
• Ability to apply clinical guidelines to ensure progression of care.
• Critical-thinking and problem-solving skills.
• Ability to collaborate effectively with multiple stakeholders.
• Professional communication skills, including strong interpersonal and written communication.
• Understanding of how utilization management and case management programs integrate.
• Ability to work as a team player and assist other team members as needed.
• Ability to thrive in a fast-paced, self-directed environment.
• Knowledge of CMS standards and requirements.
• Ability to prioritize work and delegate where indicated.
• Strong organization and time-management skills.
• Excellent customer service and presentation skills.
• Ability to apply analytical and problem-solving skills.
• Demonstrated ability to manage multiple tasks or projects.

Responsibilities

• Conduct clinical and psychosocial assessments and develop and implement discharge plans aligned with patient needs, preferences, and available community resources.
• Partner with the multidisciplinary team to support appropriate use of hospital resources and ensure care progression meets evidence-based clinical criteria.
• Manage complex transitions to post-acute care settings and communicate clearly with providers to reduce gaps in care and prevent 30-day readmissions.
• Advocate for patients by addressing cultural, spiritual, and socioeconomic barriers and educating patients and families throughout the healthcare journey.
• Maintain thorough documentation and deliver required patient notifications in accordance with hospital policies, quality standards, and healthcare regulations.
• Participate in hospital-wide performance improvement initiatives to enhance patient experience, operational efficiency, and clinical outcomes.

What This Job Offers

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