RN Care Coordinator

Job Summary And Responsibilities

The RN Care Coordinato r is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The position’s emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying valuing and addressing patient choice spiritual needs cultural language and socioeconomic barriers to care transitions. In addition the RN Care Coordinator strives to enhance the patient experience.

Responsibilities

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process or upon request. Reassess the patient as appropriate and update the plan accordingly.
• Facilitates the development of a multidisciplinary discharge plan engaging other relevant health team members the patient and / or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs choices and available resources.
• Oversees and evaluates the implementation of the discharge plan.
• Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines / criteria.
• Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
• Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
• Responsible for delivery of appropriate patient notifications and related documentation
• Responsible for patient education and advocacy.
• Participates in performance improvement teams and programs as necessary.

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Minimum

Job Requirements

Preferred

Knowledge Skills And Abilities For Success In The Role

Where You'll Work

Dignity Health Mercy San Juan Medical Center is a 384-bed not-for-profit Level 2 Trauma Center located in Carmichael California. We have served north Sacramento County as well as south Placer County for over 50 years. Our facility is one of the area's largest medical centers and also one of the most comprehensive. Our staff and volunteers are dedicated to community well-being; providing excellent patient care to all. Mercy San Juan Medical Center is a Comprehensive Stroke Center as well as a Spine Center of Excellence. We are proud recipients of the Perinatal Care Certificate of Excellence and a Certificate of Excellence for Hip and Knee Replacements.

One Community. One Mission. One California

Pay Range

$69.35 - $84.19 / hour