RN, Discharge Clinical Coordinator

Beacon Health System-posted 2 months ago
South Bend, IN
5,001-10,000 employees
Religious, Grantmaking, Civic, Professional, and Similar Organizations
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The RN, Registered Nurse Discharge Coordinator, plays a critical role in ensuring timely, safe, and well-organized patient discharges from Beacon's acute care hospitals. This position serves as a key liaison among hospitalists, specialists, nursing, case management, ancillary departments, and patients. The nurse ensures that when a patient is medically stable and ready for discharge, all clinical, logistical, and communication barriers are resolved-supporting a seamless transition to outpatient care.

  • Collaborates daily with the Hospitalist Team to identify estimated discharge dates and address clinical or disposition barriers.
  • Partners with nursing, case management, and ancillary departments to ensure coordinated discharge planning.
  • Meets with patients and families to prepare for discharge-arranging follow-up appointments, securing specialist instructions, and assisting with post-acute placement paperwork.
  • Keeps patients and families informed about discharge timing, medication changes, and care instructions.
  • Connects patients with a primary care provider if they do not have one, ensuring appropriate post-discharge follow-up.
  • Refers patients with chronic conditions to Care Coordination when ongoing support is needed.
  • Reviews patient records to confirm completeness and that all medical concerns are addressed prior to discharge.
  • Communicates complex discharge needs to the patient's primary care physician when there is a high risk of readmission.
  • Performs post-discharge follow-up calls to confirm smooth transitions and address emerging needs.
  • Assists with patient education related to discharge medications and care instructions.
  • Collects and analyzes data related to length of stay, discharge barriers, and utilization trends, preparing reports for leadership.
  • Identifies process improvements and presents recommendations to relevant committees to enhance the quality of patient care.
  • Participates in hospitalist department meetings, providing updates on discharge outcomes and improvement efforts.
  • Contributes to organizational efforts to close gaps in care and improve patient transitions.
  • Actively participates in department meetings and completes all required education, competencies, and health requirements on time.
  • Maintains RN licensure and required certifications (e.g., BCLS/CPR) in good standing.
  • Adheres to infection control, safety, and regulatory compliance standards.
  • Demonstrates flexibility in schedule and is available to work overtime or alternate shifts when needed.
  • Embodies The Beacon Way by leveraging innovation everywhere, cultivating human talent, embracing performance improvement, building greatness through accountability, using information to improve and advance, and communicating clearly and continuously.
  • Graduate of an accredited nursing program with a current RN license in the State of Indiana.
  • Experience in discharge planning, case management, or leadership in an acute care or similar healthcare setting preferred.
  • Strong knowledge of clinical care practices and discharge processes.
  • Excellent communication, counseling, and interpersonal skills for working with patients, families, and interdisciplinary teams.
  • Demonstrated problem-solving, critical thinking, and organizational abilities.
  • Effective time management skills; able to prioritize independently and work efficiently under pressure.
  • Proficiency in relevant healthcare technology systems and documentation platforms.
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