Care Coordinator RN

CommonSpirit Health; Pueblo (CO); On-site; USD 75,000 - 105,000; Full time

Job summary

CommonSpirit Health in Pueblo, CO seeks an RN Care Coordinator to oversee care progression and discharge planning, coordinating with utilization management, nursing, physicians, insurers, and post-acute providers to optimize outcomes and patient experience.

The role requires an RN with strong clinical judgment, excellent communication, and a focus on patient advocacy, with a commitment to evidence-based discharge planning and efficient resource use.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year experience.
• RN license in multiple states as listed in job posting.
• BLS required within 3 months of hiring.

Responsibilities

• Facilitates development of a multidisciplinary discharge plan with health team members, patient, and postacute providers.
• Collaborates with healthcare team and postacute services to ensure timely transitions to appropriate postacute settings.
• Completes and documents a discharge planning assessment and reassesses as needed.
• Identifies readmission risk and implements interventions for at least 30 days.
• Oversees and evaluates discharge plan implementation.
• Collaborates with multidisciplinary team to ensure progression of care using evidence-based guidelines.

Skills

Clinical judgement

Communication

Collaboration

Patient advocacy

Care coordination

Education

Bachelor's Degree in Nursing (BSN)

Master's degree in Case Management or Nursing

Tools

N/A

Job description

Job Summary and Responsibilities

As our RN Care Coordinator, you will oversee the progression of care and discharge planning for identified patients, promoting quality and cost-effective outcomes while adhering to all hospital policies and regulations.
Every day you will coordinate, communicate, and collaborate with utilization management, nursing, physicians, ancillary departments, insurers, and post-acute providers to progress care toward optimal outcomes at the appropriate level. You will also advocate for patients and families, identifying and addressing barriers to care transitions, and striving to enhance the patient experience.
To be successful in this role, you will be a Registered Nurse with strong clinical judgment, exceptional communication and collaboration skills, a deep understanding of care coordination principles, and a fervent commitment to patient advocacy and enhancing the overall patient experience.

• Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative, and postacute care providers in accordance with the patient's clinical or psychosocial needs, choices, and available resources.
• Collaborates with the healthcare team and postacute service providers to ensure timely and smooth transitions to the most appropriate type and setting of postacute services based upon the patient's clinical needs.
• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request, and reassesses the patient as appropriate to update the plan accordingly.
• Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30day period.
• 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 evidencebased guidelines/criteria.

Job Requirements

Required

• Graduate of an accredited school of nursing
• Minimum two (2) years of acute hospital clinical experience or a Master'ss degree in Case Management or Nursing field in lieu of 1 year experience
• RN license in the state(s) covered: Arizona RN:AZ or Compact Arkansas RN:AR or Compact California RN:CA Colorado RN:CO or Compact Georgia RN:GA or Compact Iowa RN: IA or Compact Kansas RN:KS or Compact Kentucky RN:KY or Compact Minnesota RN:MN Nebraska RN:NE or Compact Nevada RN:NV North Dakota RN:ND or Compact Ohio RN:OH or Compact Oregon RN:OR Tennessee RN:TN or Compact Texas RN:TX or Compact Utah RN:UT or Compact Washington RN:WA or Partial
• BLS required within 3 months of hiring

Preferred

• Bachelor's Degree in Nursing (BSN) or related healthcare field
• At least five (5) years of nursing experience
• Certified Case Manager (CCM), Accredited Case Manager (ACMRN), or UM Certification

Where You'll Work

For more than 135 years, St. Mary-Corwin has cared for the people of Pueblo and the surrounding southern Colorado communities. Driven by a commitment to Pueblo and our healing ministry, St. Mary- Corwin is focused on its core areas of clinical strength: cancer care and orthopedic services. This concentration enables St. Mary-Corwin to serve the southern Colorado region with high quality, high value care for generations to come. Residents of Pueblo enjoy a moderate cost of living within this modern, mid-sized community while experiencing everything great about life in Colorado, including world- class nearby outdoor recreation, thriving local arts and culture, numerous parks, festivals and much more.