Care Coordinator RN

Catholic Health Initiatives; Lake Jackson (TX); On-site; USD 59,000 - 88,000; Full time

Job summary

St. Luke’s Health–Brazosport Hospital in Lake Jackson, TX is seeking an RN Care Coordinator to guide patients through the healthcare journey, ensuring safe transitions and high-quality care.

The role requires strong clinical judgment and communication skills to collaborate with physicians, nursing staff, insurers, and post-acute providers. You will develop discharge plans, monitor progress, and advocate for resources across the care continuum.

Qualifications

• Graduation from an accredited school of nursing and Texas RN license.
• Minimum two years of acute hospital clinical experience; master’s in case management or nursing and 1 year experience.
• Basic Life Support (CPR) certification.

Responsibilities

• Completes and documents discharge planning assessment per screening or on request.
• Develops multidisciplinary discharge plan with team, patient, and post-acute providers.
• Oversees and evaluates implementation of the discharge plan.
• Collaborates with team to ensure progression of care and resource utilization.
• Coordinates with post-acute providers for timely transitions to appropriate care setting.
• Identifies readmission risk and implements 30-day mitigation interventions.

Skills

Discharge planning

Care coordination

Clinical advocacy

Education

RN license (TX)

Bachelor of Science in Nursing

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: TX, 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

St. Luke’s Health–Brazosport Hospital is located on a beautiful, 25-acre campus in Lake Jackson, Texas. Offering state-of-the-art diagnostic and comprehensive treatment services, our hospital is home to a 154‑bed patient tower, level III trauma center, advanced cardiac care center, and full‑service, multidisciplinary cancer centre. Our team consists of over 100 board-certified physicians and nearly 600 highly skilled employees to meet our patients’ medical needs. South Brazoria County’s premier healthcare system, St. Luke’s Health–Brazosport Hospital is dedicated to providing quality care with compassion for the communities we serve.

Pay Range

$43.10 - $64.11 /hour

We are an equal opportunity/affirmative action employer.