Care Coordination Nurse

Dignity Health; Phoenix (AZ); On-site; USD 54,000 - 80,000; Full time

Benefits offered by this job

Education Benefit

Debt relief / student loan assistance

Job summary

Dignity Health's Saint Joseph’s Hospital & Medical Center in Phoenix, AZ seeks a Care Coordination Nurse to lead discharge planning for inpatient populations from birth to adult, coordinating healthcare and social services while balancing patient needs with cost-effective resources.

The role emphasizes multidisciplinary collaboration, education and advocacy, ensuring timely transitions to post-acute settings, reducing readmission risks, and promoting humankindness in care.

Qualifications

• Two years acute hospital clinical experience or a Master’s degree in Case Management or Nursing may substitute one year of experience.
• Graduate of an accredited school of nursing.
• Registered Nurse license: AZ or Compact.
• American Heart Association BLS within 90 days.
• Knowledge of managed care and payer environment.
• Strong critical thinking and problem-solving skills.
• Ability to collaborate with multiple stakeholders and teams.
• Understand utilization management and case management integration with CMS standards.

Responsibilities

• Completes and documents discharge planning assessments for patients identified by screening or on request.
• Develops multidisciplinary discharge plans with input from patients, families, and post-acute providers.
• Oversees and evaluates discharge plan implementation and progress.
• Collaborates with care teams to ensure appropriate inpatient resource use per evidence-based guidelines.
• Coordinates transitions to appropriate post-acute care settings based on clinical needs.

Skills

Critical thinking

Problem solving

Team collaboration

CMS knowledge

Utilization management

Education

Accredited nursing school

BSN preferred

Job description

Job Summary And Responsibilities

As our Care Coordination Nurse at St. Joseph's Hospital & Medical Center, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.

Every day you will meticulously conduct and update discharge planning assessments, facilitating multidisciplinary collaboration for timely and smooth transitions to post-acute care settings. You'll oversee implementation of discharge plans, optimize inpatient resource utilization, identify and mitigate readmission risks, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.

To be successful in this role, you will demonstrate exceptional critical thinking, problem-solving, and professional communication skills. Your ability to thrive in a fast-paced, self-directed environment, prioritize effectively, and collaborate seamlessly within the Care Coordination Team is crucial. You must be dedicated to furthering the hospital's mission by enhancing the patient experience and ensuring optimal outcomes.

• 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

Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000.

Job Requirements

• Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of one (1) year experience
• Graduate of an accredited school of nursing
• Registered Nurse: AZ or Compact license
• American Heart Association Basic Life Support (BLS), within 90 days
• Knowledge of managed care and payer environment
• Must have critical thinking and problem-solving skills
• Collaborate effectively with multiple stakeholders
• Understand how utilization management and case management programs integrate
• Ability to work as a team player and assist other members of the team where needed
• Knowledge of CMS standards and requirements

Preferred

• Bachelor's Degree in Nursing (BSN) or related healthcare field
• At least five (5) years of nursing experience
• Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN)

Where You'll Work

Hello humankindness: Join a Legacy of Healing at Saint Joseph’s Hospital and Medical Center (SJHMC)

Ready to make a real difference? Join SJHMC in Phoenix AZ., a 571-bed nonprofit founded by the Sisters of Mercy over 125 years ago. We're more than a hospital; we're a global destination for life-changing care, embracing patients with humankindness.

Here, your calling will flourish. We're not just a workplace; we're a community dedicated to a mission of service.

Leaders In Specialized Care

• Barrow Neurological Institute (BNI): A world-renowned center for groundbreaking neurological research and innovative treatments.
• Norton Thoracic Institute (NTI): A national leader in advanced thoracic care with pioneering surgical techniques.
• Level I Trauma Center: One of Arizona's busiest ERs, providing immediate, comprehensive care for critically injured patients 24/7.

Why SJHMC?

• Culture of Excellence & Well-being: We care for our people, fostering professional and personal growth.
• Community & Collaboration: Be part of a network committed to global health and well-being.
• Join a Legacy, Shape a Future: Over 20% of our patients travel internationally for our specialized care.

This is an invitation to join a family of dedicated professionals at the forefront of medical innovation, united by the power of humankindness.

Pay Range

$39.18 - $58.28 /hour