Care Coordinator RN

CommonSpirit Health; Sacramento (CA); On-site; USD 103,000 - 125,000; Full time

Job summary

Dignity Health - Methodist Hospital in Sacramento, CA seeks an RN Care Coordinator to help patients navigate the healthcare continuum and coordinate individualized care plans for optimal outcomes.

You will collaborate with interdisciplinary teams, advocate for patients, coordinate transitions of care, monitor progress, and connect patients with community resources, demonstrating strong clinical judgment and communication.

Qualifications

• RN licensure in California is required.
• Minimum two years of acute hospital clinical experience, or a Master's in Case Management/Nursing in lieu of 1 year of experience.
• BLS certification within 3 months of hire.
• Knowledge of CMS standards and requirements.
• Ability to apply clinical guidelines to ensure progression of care.
• Strong communication and collaboration skills.

Responsibilities

• Completes discharge planning assessments and reassesses as needed.
• Develops multidisciplinary discharge plans with the health team and post-acute providers.
• Coordinates transitions to appropriate post-acute services based on clinical needs.
• Identifies readmission risk and implements mitigation strategies for at least 30 days.
• Educates and advocates for patients.

Skills

Communication skills

Critical thinking

Team collaboration

CMS standards knowledge

Utilization management

Case management integration

Education

Active RN license California

BSN preferred

Job description

Job Summary and Responsibilities

As our RN Care Coordinator, you will help patients and their families navigate the healthcare continuum and coordinate individualized care plans so they can achieve optimal health outcomes and experience a seamless transition across care settings.

Every day, you will collaborate with interdisciplinary teams to assess patient needs, coordinate services, and develop comprehensive care plans. You will be expected to advocate for patients, facilitate transitions of care, monitor progress toward goals, and connect patients with appropriate community and healthcare resources.

To be successful in this role, you will demonstrate strong clinical judgment, exceptional communication and collaboration skills, and experience coordinating care across multiple disciplines and settings while maintaining a patient-centered approach.

• 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 while updating 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 patient's clinical or psychosocial needs, choices, and available resources.
• 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.
• Responsible for patient education and advocacy.

Job Requirements

Required:

• Graduate of an accredited school of nursing
• Minimum of two (2) years of acute hospital clinical experience or a Master's degree in Case Management or Nursing field in lieu of 1 year of experience
• Active Registered Nurse (RN) license in the State of California
• Basic Life Support (BLS) certification (American Heart Association) required within 3 months of hiring
• Knowledge, Skills, Abilities, and Training:
• Knowledge of CMS standards and requirements.
• Able to apply clinical guidelines to ensure progression of care.
• Knowledge of managed care and payer environment preferred.
• Must have critical thinking and problem-solving skills.
• Collaborate effectively with multiple stakeholders.
• Professional communication skills.
• Understand how utilization management and case management programs integrate.
• Ability to work as a team player and assist other members of the team where needed.
• Thrive in a fast paced, self-directed environment.
• Proficient in prioritizing work and delegating where indicated.
• Highly organized with excellent time management skills

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 (ACM-RN), or UM Certification

Where You'll Work

Founded in 1973, Dignity Health - Methodist Hospital is a 158-bed, acute care, nonprofit hospital located in Sacramento, California. Serving over 80,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, cancer care, women’s health, and neurology. Additionally, Methodist Hospital of Sacramento has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation and is a Joint Commission-certified Primary Stroke Center.

One Community. One Mission. One California

Pay Range

$74.56 - $90.51 /hour