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The RN Care Coordinator guides patients through the healthcare journey to support 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, departments, insurers, and post-acute providers to support timely, high-quality transitions. The Care Coordinator completes discharge planning assessments for patients identified through the designated screening process or by request, reassesses patients as appropriate, and updates plans accordingly. The role develops and oversees multidisciplinary discharge plans that reflect patients’ clinical and psychosocial needs, choices, and available resources. It also supports progression of care, appropriate use of inpatient resources, smooth transitions to post-acute services, and interventions to reduce readmission risk for at least 30 days.
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Job Type
Full-time
Education Level
Associate degree

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