Nurse Senior PCM Complex Care Specialist

Trinity Health Mid-Atlantic; Des Moines (IA); On-site; USD 90,000 - 120,000; Full time

Job summary

Trinity Health is seeking a Nurse Senior – Complex Care Specialist to coordinate highly complex inpatient care within the Acute Care Management team. The role emphasizes leadership, care planning, and seamless transitions for acutely hospitalized patients with multifaceted needs.

You will work with care teams to remove barriers to progression and support timely discharge planning, while upholding Trinity Health's mission and values in every interaction.

Qualifications

• Bachelor’s degree in Nursing and three (3) years of experience with complex, high-risk inpatient populations.
• Master’s Degree in related field preferred.
• Current Iowa RN license (MercyOne Genesis, Illinois license acceptable with primary in IA or IL; second license within 12 months).
• Mandatory Reporter – Child and/or Dependent Adult Abuse training within three months of hire.
• Experience leading complex cases, care planning discussions, or interdisciplinary efforts without formal supervisory authority.

Responsibilities

• Leads interdisciplinary complex care conferences to align patients, families, and care teams around goals and discharge plan.
• Ensures patient-centered care planning by documenting and supporting patient-defined goals and informed decision-making.
• Drives accountability for next steps, responsibilities, and timelines with providers and leadership.
• Coordinates complex inpatient care through discharge, ensuring timely connection to outpatient resources.
• Engages external partners and payers to resolve barriers and support progression of care.

Skills

Nursing leadership

Care coordination

Interdisciplinary collaboration

Mentoring

Process improvement

Education

Bachelor's degree in Nursing

Master's Degree in related field

Job description

Employment Type: Full time Shift: Day Shift Description: The Nurse Senior – Complex Care Specialist role is responsible for focused ownership and coordination of acutely hospitalized patients with highly complex medical, psychosocial, behavioral, and system‑driven needs.

Embedded within the Acute Care Management team, this role provides sustained attention, advanced care coordination, and accountability for complex inpatient populations, partnering closely with care teams and leadership to remove barriers to progression, support timely discharge planning, and improve patient outcomes.

While the role does not assume ownership of outpatient settings or teams, it is accountable for ensuring intentional coordination, connection, and effective handoff to appropriate outpatient, post‑acute, and population‑based resources as part of transitions of care.

Adheres toMercyOne’sperformance expectations and upholds the Mission, Vision, and Values of MercyOne.

RN III – senior: Practice is guided by nursing process & policy / procedure / standards. Maintains focused area of expertise for care / program & / or provides interventions or knowledge within niche areas of care / program; Advances professional / shared governance, collaborates inter & intra-professionally, delegates to others to advance care, assumes an expanded role & increased responsibility; Able to lead a small team; Serve as a unit / service / program nursing practice mentor & identify learning need of others.

TRINITY HEALTH ESSENTIAL FUNCTIONS

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Professional Nursing Practice: Acts independently & appropriately within license, scope of knowledge & experience in practice area; Continues to evolve with best evidence discoveries; Provides leadership & retains accountability for delegation, choices, decisions & outcomes; Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes; Exhibits willingness to take on new & additional responsibilities; Embraces new ideas & cultural differences while managing competing priorities.

Professional Nursing Process (ANA): Knows, understands, incorporates & demonstrates (document, teach, coordinate, advocate) standard elements of professional practice: Assess, Diagnose, Outcomes Identification / Solutions, Plan, Implement, Evaluate.

Professional Development: Participates in own professional development by maintaining required competencies, licenses & certifications, identifying learning needs & seeking appropriate assistance or educational offerings; Supports the learning & development of others (e.g., staff, formal learners, patients, families, community).

Compassion, Communication & Stewardship: Incorporates caring process (Caritas), advocacy & appropriate resource utilization as an essential component of nursing practice through concrete acts, interpersonal relationships & effective & respectful written, verbal & nonverbal communications.

Environment of Care: Practices in an environmentally safe, professional manner; monitors & initiates corrections or evidence‑based practices, including those for equipment & material resources; Promotes optimum physical &psychological behaviors; Influences effective, judicious & financially responsible use of resources.

Maintains a Working Knowledge of applicable federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

MERCYONE ESSENTIAL FUNCTIONS

Leads interdisciplinary complex care conferences to align patients, families, and care teams around shared understanding of goals, risks, barriers, and the inpatient care plan.

Ensures patient‑centered care planning by identifying, documenting, and supporting patient‑defined goals, values, and informed decision‑making, including high‑risk or non‑traditional pathways.

Drives accountability for clear next steps, assigned responsibilities, and realistic timelines, partnering with providers and leadership to develop the safest possible plan of care and discharge.

Coordinates complex inpatient care through discharge by ensuring timely connection, clear communication, and effective handoff to outpatient, post‑acute, and population‑based resources, promoting safe and seamless transitions across care settings.

Applies advanced knowledge of workflows, payer and regulatory requirements, and community resources to identify system‑level barriers, partnering with leadership and external stakeholders to resolve delays and support efficient progression of care.

Maintains advanced knowledge of internal workflows, payer requirements, regulatory expectations, and community resources impacting complex acute care patients.

Identifies systemic gaps or recurring barriers contributing to extended length of stay or delayed discharge and works collaboratively with care teams and leadership to address them.

Engages external partners, community agencies, and payers as needed to support sustainable inpatient and post discharge care solutions.

May support or temporarily assume Case Management functions based on patient volume, acuity, complexity, and acute inpatient operational needs.

Other duties as needed and assigned.

MINIMUM QUALIFICATIONS

Must possess a comprehensive knowledge of nursing as normally obtained through a Bachelor’s degree in Nursing or a related field, and three (3) years of experience working with complex, high risk patient populations in an acute or inpatient setting.

Masters Degree in related field preferred.

Current Iowa RN license, (MercyOne Genesis, excluding Aledo and DeWitt, - current Registered Nurse (RN) license in either Iowa or Illinois is required at the time of hire. A secondary RN license for the other state must be obtained within 12 months of the hire date.)

Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.

Colleagues employed and working solely in facilities located in Illinois are exempt from this requirement in accordance with applicable state requirements.

Experience leading complex cases, care planning discussions, or interdisciplinary efforts without formal supervisory authority.

Demonstrated success coordinating care for patients with significant medical, psychosocial, behavioral, and system complexity during hospitalization.

Our Commitment Rooted in our Mission and Core Values

We honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.

By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care.

Equal Opportunity

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health Overview

Trinity Health is one of the largest not‑for‑profit, faith‑based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states.

Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well‑being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.