Care Coordinator RN

Socket.dev; Lexington (KY); On-site; USD 60,000 - 85,000; Full time

Job summary

Saint Joseph Hospital in Lexington, Kentucky seeks an RN Care Coordinator to optimize patient care across the continuum. You will assess, plan, and facilitate comprehensive care, advocating for patients while collaborating with physicians, nursing, insurers and post-acute providers to ensure timely, high-quality transitions.

The role requires strong clinical acumen, exceptional communication and advocacy skills, with a focus on patient-centered care and reducing readmissions in a busy hospital

Qualifications

• Graduate of an accredited school of nursing with KY RN licensure.
• Minimum two years acute hospital clinical experience.
• BLS/CPR certified and current within specified timeframe.
• Preferred case management certification and BSN.

Responsibilities

• Completes and documents discharge planning assessments and updates plans.
• Develops multidisciplinary discharge plans with care team and post-acute providers.
• Oversees implementation and evaluates discharge plans.
• Collaborates to ensure appropriate inpatient resource use per guidelines.
• Coordinates transitions to post-acute services based on clinical needs.
• Identifies readmission risks and implements mitigation strategies for 30 days.

Skills

Discharge planning

Care coordination

Multidisciplinary collaboration

Communication

Advocacy

Patient-centered care

Care transition optimization

Readmission risk mitigation

Education

RN license (KY)

Master's degree in Case Management or Nursing

BSN preferred

Job description

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Role summary

Saint Joseph Hospital is seeking a compassionate and strategic RN Care Coordinator to join their team in Lexington, Kentucky. This role is central to optimizing patient outcomes and experience by assessing, planning, and facilitating comprehensive care across the healthcare continuum. The RN Care Coordinator will advocate for patients, collaborate with multidisciplinary teams, insurers, and post-acute providers to ensure timely, high-quality transitions and mitigate readmission risks. The ideal candidate possesses strong clinical acumen, exceptional communication and advocacy skills, and a passion for patient-centered care.

Where You’ll Work

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky.

Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

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.

Where You’ll Work

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky.

Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

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: KY, 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

About Baylor St. Luke's Medical Center

Baylor St. Luke's Medical Center is a quaternary care hospital in Houston, Texas, a joint venture between Baylor College of Medicine and Catholic Health Initiatives (now CommonSpirit Health), known for complex medical care, research, and teaching.

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Job ID: 2238eb83
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