Care Coordination RN

CommonSpirit Health; Stockton (CA); In loco; USD 90.000 - 115.000; Tempo pieno

Descrizione del lavoro

CommonSpirit Health is seeking an RN Care Coordinator in Stockton, CA to guide patients and families through the healthcare continuum, coordinating individualized care plans for optimal outcomes and seamless transitions across settings.

Daily duties include collaborating with interdisciplinary teams, advocating for patients, assessing needs, and connecting patients with community and healthcare resources while maintaining patient-centered care in a fast-paced hospital environment.

Competenze

• Graduate of an accredited school of nursing.
• Active RN license in California.
• BLS certification within 3 months of hiring.

Mansioni

• Completes and documents discharge planning assessments and updates plans.
• Facilitates development of multidisciplinary discharge plans with care teams and post-acute providers.
• Collaborates with healthcare teams to ensure timely transitions to appropriate post-acute services.
• Identifies readmission risk and implements 30-day mitigation strategies.
• Provides patient education and advocacy.

Conoscenze

Discharge planning

Care coordination

Interdisciplinary collaboration

Patient advocacy

Clinical judgment

Formazione

Bachelor's Degree in Nursing

Master's degree in Case Management or Nursing

Descrizione del lavoro

Job Summary and Responsibilities

As our RN Care Coordinator, you will help patients and their families navigate the healthcare continuum and coordinate individualized care plans so they can achieve optimal health outcomes and experience a seamless transition across care settings.

Every day, you will collaborate with interdisciplinary teams to assess patient needs, coordinate services, and develop comprehensive care plans. You will be expected to advocate for patients, facilitate transitions of care, monitor progress toward goals, and connect patients with appropriate community and healthcare resources.

To be successful in this role, you will demonstrate strong clinical judgment, exceptional communication and collaboration skills, and experience coordinating care across multiple disciplines and settings while maintaining a patient-centered approach.

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request, and reassesses the patient as appropriate while updating 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 patient's clinical or psychosocial needs, choices, and available resources.
• 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 patient education and advocacy.

Job Requirements

Required:

• Graduate of an accredited school of nursing
• Minimum of two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year of experience
• Active Registered Nurse (RN) license in the State of California
• Basic Life Support (BLS) certification (American Heart Association) required within 3 months of hiring
• Knowledge, Skills, Abilities, and Training:
  • Knowledge of CMS standards and requirements.
  • Able to apply clinical guidelines to ensure progression of care.
  • Knowledge of managed care and payer environment preferred.
  • Must have critical thinking and problem‑solving skills.
  • Collaborate effectively with multiple stakeholders.
  • Professional communication skills.
  • 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.
  • Thrive in a fast paced, self‑directed environment.
  • Proficient in prioritizing work and delegating where indicated.
  • Highly organized with excellent time management skills

Preferred:

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

Where You'll Work

Founded in 1899, Dignity Health - St. Joseph’s Medical Center is a 355-bed, acute care, nonprofit hospital located in Stockton, California. Serving over 125,000 patients annually, the hospital offers a full complement of services including a Level III NICU, cancer care, heart care, and a family birth center. Additionally, St. Joseph’s Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation. It is a Joint Commission‑certified Primary Stroke Center and was named one of America’s 250 Best Hospitals by Healthgrades in 2026.

One Community. One Mission. One California