Care Coordination RN: Transitions & Care Optimization

Live Well Homecare Agency, LLC; Mableton (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Live Well Homecare Agency, LLC in Georgia is seeking a Care Coordination RN to assess transitional care needs, coordinate across the care continuum, and engage patients and families to ensure care goals are met.

Collaborate with physicians, care teams, and social services to promote timely transitions, document plans, and support discharge planning and patient education. Strong communication and organizational skills are essential.

Qualifications

• Requires an Associate’s or Bachelor’s Nursing degree, RN licensure (single or multi-state), BLS certification, and at least 1 year of nursing experience in acute care.
• Must possess excellent communication, assessment, organizational, and problem-solving skills.
• Ability to work well under stress, handle change, and collaborate with multidisciplinary teams.

Responsibilities

• Conduct psychosocial and functional assessments, plan and manage discharge processes, facilitate interdisciplinary rounds, and address barriers to care and discharge.
• Collaborate effectively with physicians, care teams, and social services to promote timely, efficient patient transitions.
• Document assessments, care plans, and interactions accurately, and ensure compliance with organizational policies.
• Support professional development, serve as a mentor if appropriate, and perform other duties as assigned.

Skills

RN licensure

Communication

Care coordination

Discharge planning

Education

Associate’s or Bachelor’s Nursing degree

Job description

Live Well Homecare Agency, LLC in Georgia is seeking a Care Coordination RN to assess transitional care needs, coordinate across the care continuum, and engage patients and families to ensure care goals are met.

Collaborate with physicians, care teams, and social services to promote timely transitions, document plans, and support discharge planning and patient education. Strong communication and organizational skills are essential.