Patient Care Coordinator RN - Care Coordination & Discharge

Kaiser Permanente; Denver (CO); On-site; USD 85,000 - 105,000; Full time

Job summary

Kaiser Permanente in Colorado is seeking a Patient Care Coordinator (PCC) RN to manage and coordinate care for hospitalized patients. You will collaborate with Colorado Permanente Medical Group physicians, families, and case management to ensure safe discharges and reduce readmissions.

The role emphasizes communication, care transitions, and adherence to hospital policies with a focus on efficient, high-quality patient care. Strong teamwork and critical thinking are essential.

Qualifications

• Minimum 2 years of acute medical/surgical/ED or critical care nursing experience.
• Associates degree in Nursing required; BSN preferred.

Responsibilities

• Review ED, observation, readmission, and long LOS patients to assess discharge needs within 48 hours of admission.
• Participate in daily hospital multi-disciplinary rounds and report on care coordination needs.
• Identify and document care coordination delays; escalate as needed.
• Complete Structured Admission Review (SAR) and provide status recommendations to the Triage physician.
• Coordinate with physicians and case management to ensure timely care progression and discharge planning.
• Coordinate discharge needs with hospital teams and in-network vendors for DME post-discharge.
• Schedule follow-up appointments and referrals for high-risk patients and communicate with patients/families.
• Document care coordination outcomes in HealthConnect and communicate transition plans.

Skills

Communication skills

Teamwork

Time management

Critical thinking

Independent worker

Education

Associates degree in Nursing

Bachelor's degree in Nursing (BSN)

Tools

Electronic Medical Records

Job description

Kaiser Permanente in Colorado is seeking a Patient Care Coordinator (PCC) RN to manage and coordinate care for hospitalized patients. You will collaborate with Colorado Permanente Medical Group physicians, families, and case management to ensure safe discharges and reduce readmissions.

The role emphasizes communication, care transitions, and adherence to hospital policies with a focus on efficient, high-quality patient care. Strong teamwork and critical thinking are essential.