Nurse Care Coordination

CommonSpirit Health; Prescott (AZ); On-site; USD 54,000 - 80,000; Full time

Job summary

CommonSpirit Health is seeking a Care Coordination Nurse to lead discharge planning for inpatient populations from birth to adult. You will coordinate healthcare and social services, advocate for patients, and address barriers to timely transitions in collaboration with the care team.

In this role you will conduct discharge planning assessments, drive multidisciplinary plans, monitor implementation, and optimize inpatient resource use while ensuring high‑quality, equitable outcomes across

Qualifications

• Minimum two (2) years of acute hospital clinical experience or a Master’s degree in Case Management or Nursing in lieu of 1 year experience.
• Graduate of an accredited school of nursing.
• Registered Nurse license: AZ or Compact.
• BLS within 90 days.
• Knowledge of managed care and payer environment.
• Strong critical thinking and problem-solving skills.
• Collaborate effectively with multiple stakeholders.
• Understand utilization and case management integration.
• Team player and willing to assist others.
• CMS standards knowledge.

Responsibilities

• Completes and documents discharge planning assessments for patients identified by the screening process or upon request.
• Develops multidisciplinary discharge plans with input from the patient, family, and post-acute providers.
• Oversees and evaluates the implementation of the discharge plan.
• Collaborates with the care team to ensure appropriate use of inpatient resources.
• Partners with post-acute providers to ensure timely, appropriate transitions based on clinical needs.

Skills

Acute hospital nursing experience

Critical thinking

Collaboration with stakeholders

Utilization management knowledge

Education

AZ-compact RN license

BSN (preferred)

CCM/ACM-RN (preferred)

Job description

Job Summary and Responsibilities

As our Care Coordination Nurse, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.

Every day you will meticulously conduct and update discharge planning assessments, facilitating multidisciplinary collaboration for timely and smooth transitions to post-acute care settings. You'll oversee implementation of discharge plans, optimize inpatient resource utilization, identify and mitigate readmission risks, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.

To be successful in this role, you will demonstrate exceptional critical thinking, problem-solving, and professional communication skills. Your ability to thrive in a fast-paced, self-directed environment, prioritize effectively, and collaborate seamlessly within the Care Coordination Team is crucial. You must be dedicated to furthering the hospital's mission by enhancing the patient experience and ensuring optimal outcomes.

• 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.

Job Requirements Required

• Minimum Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
• Graduate of an accredited school of nursing
• Registered Nurse: AZ or Compact license
• American Heart Association Basic Life Support (BLS) required within 90 days
• Knowledge of managed care and payer environment
• Must have critical thinking and problem-solving skills
• Collaborate effectively with multiple stakeholders
• 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
• Knowledge of CMS standards and requirements

Preferred

• Bachelor's Degree in Nursing (BSN) or related healthcare field
• At least five (5) years of nursing experience
• Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN)

Where You’ll Work

Are you ready to join a healthcare family where your values align with ours? At Dignity Health – Yavapai Regional Medical Center (DH-YRMC), now a proud part of CommonSpirit Health, a not-for-profit integrated healthcare provider, our core mission guides every decision and every interaction.

Here, you’ll discover more than just a job; you’ll find rewarding career opportunities across a comprehensive network of inpatient and outpatient services. From a vibrant community hospital, YRMC has grown into a leading regional healthcare system.

Today, that means you could be making an impact at:

• Two state-of-the‑art acute care hospitals
• A robust network of primary and specialty care clinics
• Modern outpatient health and wellness services
• Acclaimed cardiac diagnostic centers
• Advanced outpatient medical imaging facilities

Elevate your career without sacrificing your quality of life. As you grow with YRMC, you’ll find the Prescott area isn’t just a place to work – it’s an inspiring community designed for living, thriving, and embracing the outdoors. Imagine a charming blend of bygone appeal and modern amenities, coupled with four distinct seasons and nearly year‑round sunshine perfect for every adventure.

Say hello to a relaxed lifestyle that empowers you to prioritize both your professional growth and family time. YRMC extends this inviting spirit within our walls, fostering a strong sense of family, and belonging among our team members.

Come experience the exceptional quality of life that YRMC and Prescott offer. Work at the heart of #hellohumankindness and discover where your career and well-being truly connect.

Pay Range

$39.18 - $58.28 /hour