RN Care Coordinator
About The Position
At CHI Health Mercy Council Bluffs, the RN Care Coordinator is a central figure in patient care, helping navigate patients’ healthcare journeys to achieve optimal outcomes and a positive patient experience. The role assesses, plans, and facilitates comprehensive care across the continuum; advocates for patients; and collaborates with physicians, nursing staff, other departments, insurers, and post-acute providers to support timely, high-quality transitions. Success requires clinical acumen, strong communication and advocacy skills, a strategic mindset, and a commitment to optimizing patient care. The position completes and documents discharge-planning assessments for patients identified through the designated screening process or by request, reassesses patients as appropriate, and updates plans. It facilitates multidisciplinary discharge planning based on patients’ clinical or psychosocial needs, preferences, and available resources, and oversees and evaluates implementation of those plans. The coordinator also supports appropriate progression of care and inpatient resource utilization using established evidence-based guidelines and criteria, coordinates transitions to suitable post-acute services, and identifies and mitigates readmission risks for at least 30 days.
Requirements
- Graduate of an accredited school of nursing and at least two years of acute hospital clinical experience upon hire; or a master’s degree in another case management or nursing field and one year of experience upon hire.
- Registered Nurse licensure in Nebraska upon hire.
- Basic Life Support (CPR) certification within 90 days.
Nice To Haves
- Bachelor of Science in Nursing.
- At least five years of nursing experience upon hire.
- Certified Case Manager certification upon hire.
- Accredited Case Manager certification upon hire.
Responsibilities
- Complete and document discharge-planning assessments for patients identified through the designated screening process or by request; reassess patients as appropriate and update plans.
- Facilitate multidisciplinary discharge planning with relevant health team members, patients or their representatives, and post-acute care providers, based on clinical and psychosocial needs, preferences, and available resources.
- Oversee and evaluate implementation of the discharge plan.
- Collaborate with the multidisciplinary team to support progression of care and appropriate inpatient resource utilization using established evidence-based guidelines and criteria.
- Coordinate with the healthcare team and post-acute service providers to support timely transitions to appropriate post-acute services and settings.
- Identify readmission risks and implement interventions to mitigate them for at least 30 days.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
