Care Coordinator Complex RN - ED Days

2310 AU Medical Center, Inc.; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Wellstar Health System seeks an RN Care Coordinator in the ED (RNCC-ED) to serve as the clinical lead for patient progression, discharge readiness, and coordination of routine clinical transition planning with providers, the social work care coordinator, and the case management assistant. The role requires cross-training in utilization management and CDI, and a strong focus on safe, timely discharges.

Join Wellstar to lead interdisciplinary rounds, drive throughput initiatives, and mentor staff

Qualifications

• Bachelor's degree in Nursing required and active RN license.
• Minimum 3 years of healthcare experience in acute care or related setting.
• Experience in discharge planning and care coordination is essential.

Responsibilities

• Lead discharge planning and care coordination for ED patients.
• Collaborate with physicians, social workers and case management to remove barriers to discharge.
• Ensure timely documentation and progression notes in the EHR.
• Mentor and support nursing staff and interdepartmental teams.

Skills

Nurse leadership

Discharge planning

Interdisciplinary collaboration

Documentation accuracy

Communication skills

Education

Bachelor's degree in Nursing

Tools

EHR systems

Utilization Management knowledge

CDI knowledge

Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift Day (United States of America)

Job Summary: The RN Care Coordinator ED (RNCC-ED) serves as the clinical lead for patient progression, medical discharge readiness, and coordination of routine clinical transition planning, partnering closely with providers, the social work care coordinator (SWCC) and the case management assistant (CMA) to ensure efficient patient progression, medical discharge readiness, and safe transitions of care.

The RNCC-ED manages routine and clinically focused discharge planning needs, while the SWCC manages complex psychosocial, behavioral, legal, guardianship, homelessness, placement, and high-barrier discharges. The RNCC-ED functions as a key leader in interdisciplinary rounds, supports throughput initiatives, and is cross-trained in Utilization Management (UM) and Clinical Documentation Integrity (CDI), with working knowledge of top Diagnosis-Related Groups (DRGs) impacting organizational performance and reimbursement.

Care Coordination & Clinical Progression

Real-time consultation/collaboration with ED and Admitting provider on patient admission/documentation. Ensure timely completion of initial assessments and progression-of-care documentation. Monitor patient progression toward established clinical and discharge milestones. Collaborate with providers to address medical, operational, and payer-related barriers to discharge. Lead coordination of clinical discharge planning activities for assigned patients. Ensure appropriate escalation of delays or barriers impacting throughput and length of stay.

Utilization Management & CDI Support

Maintain cross-functional knowledge and competency in Utilization Management (UM) and Clinical Documentation Integrity (CDI). Collaborate with UM and CDI teams to support appropriate patient status, medical necessity, and documentation accuracy. Maintain working knowledge of organizational priority DRGs and quality indicators. Support denial prevention and efficient resource utilization.

Interdisciplinary Team Leadership

Lead and coordinate interdisciplinary collaboration to ensure efficient patient progression to discharge. Participate in and help facilitate interdisciplinary rounds and daily progression huddles. Delegate and coordinate work among SW CC and CMA to support efficient patient progression. Serve as a clinical resource for nursing staff, providers, and ancillary departments regarding discharge planning and care coordination processes. Promote accountability for discharge readiness and transition planning activities.

Core Responsibilities and Essential Functions

Complex Disposition Planning

• Complex Disposition Planning * a. Implements discharge planning and provides resource information in a timely and efficient manner for complex patients.
• b. Identifies and documents barriers for timely disposition.
• c. Understands eligibility processes and criteria for both private and public local, state, and federal resources to assist in planning a safe and appropriate transition for discharge.
• d. Responds to referrals for patient assistance from RN physicians and the care team.
• e. Participates in Interdisciplinary Rounds with the patients care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
• f. Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
• g. Provides financial needs assessment for patients requiring assistance for follow-up care throughout the continuum.
• h. Advocates and partners with the patient and family to empower them to make autonomous health care decisions keeping the patient and their wishes at the center of all discharge planning.
• i. Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
• j. Arranges and facilitates family meetings when needed.
• k. Allows for any cultural or religious beliefs in providing service and continuity of care.

Assessment

• a. Based on preliminary screening of patients, initiates assessment of patients psychosocial risk factors and availability of resources to assist upon discharge.
• b. Partners with the PAS, financial counselor, and/ or UM nurse to assess insurance and coverage requirements for all payers to ensure adherence to those requirements.
• c. Collaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patients care progression and discharge plans.

3. Documentation

• a. Initial psychosocial /functional assessment completed and documented in medical record.
• b. Ensure all records are up-to-date and documentation is understandable.
• c. Ensure timely and accurate documentation of progress notes and interactions with patient/family.
• d. Accounts for and indicates all services arranged/delivered in Electronic Health Record.
• e. Enter avoidable days, when applicable, in the Electronic Health Record.

Professional Development and Initiative

• a. Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
• b. Supports departmental- based goals which contribute to the success of the organization.
• c. Participates in the development of protocols, procedures and performance improvement as indicated to optimize patient outcomes.

4. Precepting/Mentoring

• a. Assist leadership with precepting new hires when needed.
• b. Mentoring new and less senior employees in addressing challenging situations in assisting patients/families through the continuum of care.
• c. Serves as a preceptor and/or mentor for student interns
• d. Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Bachelors Nursing or Associates Nursing or Diploma (Nurse) Nursing

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated. BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact

Required Minimum Experience:

Minimum 3 years of experience in healthcare in the acute care setting, related field, skilled care or community environment in care coordination. Required and Minimum 2 years in care coordination in the acute care setting.

Required Required Minimum Skills:

Excellent written and verbal communication skill. Must possess maturity, self-confidence, objectivity, and positive attitude. Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment Strong assessment, interview, organizational and problem-solving skills. Knowledge regarding local, state and federal regulations required. Knowledge of community and state-wide resources and programs. Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist through the continuum of care.

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.

Mission, Vision & Values

At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients’ and team members’ expectations, while transforming healthcare delivery.

OUR MISSION:

To enhance the health and well-being of every person we serve.

OUR VISION:

Deliver world-class healthcare to every person, every time.

OUR VALUES:

We serve with compassion We pursue excellence We honor every voice

Culture of Excellence

Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.