Care Coordinator RN

VMFH Division Support Services; Bremerton (WA); On-site; USD 85,000 - 110,000; Full time

Job summary

Virginia Mason Franciscan Health is seeking an RN Care Coordinator to lead discharge planning and care transitions across the continuum, coordinating with physicians, nurses, insurers, and post-acute providers to ensure timely, high-quality patient outcomes.

The role emphasizes clinical acumen, advocacy, and collaboration, with responsibilities including discharge assessments, multidisciplinary planning, and reducing readmission risk, supported by our integrated network across the Puget Sound

Qualifications

• Must be a graduate of an accredited school of nursing.
• Minimum two years of acute hospital clinical experience.
• WA RN license is required at hire.
• Basic Life Support (CPR) certification within 90 days.

Responsibilities

• Completes and documents discharge planning assessments and updates plans as needed.
• Facilitates multidisciplinary discharge planning with patients, families, and post-acute providers.
• Oversees implementation and progression of the discharge plan.
• Collaborates with care teams to ensure appropriate inpatient resource use.
• Coordinates transitions to post-acute services based on clinical needs.
• Identify readmission risks and implement 30-day mitigation steps.

Skills

Clinical nursing

Care coordination

Communication

Education

Registered Nurse WA license

Master's in Case Management or Nursing

Job description

Job Summary and Responsibilities

As a RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.

Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.

To be successful in this role, you will possess strong clinical acumen, exceptional communication and advocacy skills, and a strategic mindset, all driven by a passion for optimizing patient care across every touchpoint.

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request. Reassess the patient as appropriate and update 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 patients clinical or psychosocial needs, choices and available resources.
• Oversees and evaluates the implementation of the discharge plan.
• Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
• 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.

Job Requirements

Required

• Graduate of an accredited school of nursing and Minimum two (2) years of acute hospital clinical experience, upon hire or
• Masters Other Case Management or Nursing field. and 1 year of experience, upon hire and
• Registered Nurse: WA, upon hire and
• Basic Life Support - CPR, within 90 Days and

Preferred

• Bachelors Of Science Nursing and At least five (5) years of nursing experience., upon hire
• Certified Case Manager, upon hire and
• Accredited Case Manager, upon hire

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.