Care Coordination RN

Dignity Health

Stockton (CA)

On-site

USD 92,000 - 120,000

Full time

6 days ago
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Job summary

Dignity Health is seeking an RN Care Coordinator in Stockton, CA to guide patients and families through the healthcare continuum and coordinate individualized care plans. You will collaborate with interdisciplinary teams to assess needs, coordinate services, and develop comprehensive care plans for seamless transitions across settings.

The role emphasizes clinical judgment, strong communication, and the ability to manage care across multiple disciplines while maintaining a patient-centered

Qualifications

  • Graduate of an accredited school of nursing.
  • Active RN license in the State of California.
  • BLS certification within 3 months of hiring.
  • Experience coordinating care across disciplines is essential.
  • Knowledge of CMS standards and managed care environment is preferred.

Responsibilities

  • Completes discharge planning assessments and updates plans as needed.
  • Facilitates multidisciplinary discharge planning with care team and patient.
  • Coordinates transitions to post-acute services based on clinical needs.
  • Identifies readmission risk and implements mitigation strategies for 30 days.
  • Provides patient education and advocacy throughout the care journey.

Skills

CA RN licensure
BLS certification
Discharge planning
Care coordination
Interdisciplinary collaboration
Patient education
CMS standards knowledge
Time management
Critical thinking
Team player

Education

BSN (Bachelor's degree in Nursing)
Master's degree in Case Management or Nursing (preferred)

Job description

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 (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV)

Pay Range

$67.07 - $86.77 /hour

We are an equal opportunity/affirmative action employer.

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