Care Coordination RN

Proforma Health; Mableton (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Proforma Health is seeking a Care Coordinator RN (CC RN) to assess patients' transitional care needs and coordinate care across the continuum in a fast-paced setting in Georgia.

The role involves engaging with patients and families to meet care goals and working with physicians, care teams, and community resources to implement individualized discharge plans addressing medical, psychosocial, and social determinants of health.

Qualifications

• Minimum of one year of acute care nursing experience.
• RN license (single or multi-state).
• BLS certification required.

Responsibilities

• Assess patients' transitional care needs and coordinate care across the continuum.
• Engage with patients and families to ensure care goals are met.
• Collaborate with physicians, care teams, and community resources to develop discharge and care plans.
• Conduct psychosocial assessments and manage discharge planning.
• Facilitate communication among care providers and resolve barriers to timely discharge.
• Document assessments, care progression, and interventions.
• Support interdisciplinary rounds and refer patients for social work when needed.
• Ensure compliance with healthcare policies and regulations.

Skills

Communication skills

Organizational skills

Problem-solving

Stress management

Team collaboration

Education

RN license

BLS certification

Job description

The Care Coordinator RN (CC RN) is responsible for assessing patients' transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure care goals are met.

They collaborate with physicians, care teams, and community resources to develop and implement individualized discharge and care plans, addressing medical, psychosocial, and social determinants of health.

Key duties include conducting psychosocial assessments, managing discharge planning, facilitating communication among care providers, and resolving barriers to timely discharge.

Documentation of assessments, care progression, and interventions is essential.

The role requires a minimum of one year of acute care nursing experience, an RN license (single or multi-state), BLS certification, and strong communication, organizational, and problem-solving skills.

Candidates should be self-directed, able to handle stress, and work collaboratively in a fast-paced environment, supporting continuous professional development and departmental goals.

Additional responsibilities include supporting interdisciplinary rounds, referring patients for social work when needed, and ensuring compliance with healthcare policies and regulations.