Registered Nurse - Acute Care - Care Coordination - Complex Cases - Full Time

Massachusetts Health & Hospital Association; Austell (GA); On-site; USD 65,000 - 85,000; Full time

Job summary

Massachusetts Health & Hospital Association is seeking an RN Complex Care Coordinator in Austell, GA to assess and manage care for complex patients and ensure safe, timely discharge plans across the care continuum.

The role involves clinical and psychosocial assessments, coordinating post-acute referrals, and collaborating with the interdisciplinary team to develop personalized discharge plans. Strong communication and organizational skills are essential.

Qualifications

• Requires an associate or bachelor’s degree in nursing, RN licensure, and active Basic Life Support certification.
• Minimum of 3 years healthcare experience, including 2 years in care coordination within acute care.
• Must possess strong communication, organizational, and problem-solving skills, with knowledge of regulations and community resources.

Responsibilities

• Conducts comprehensive clinical and psychosocial assessments, coordinates post-acute referrals, and collaborates with the interdisciplinary team to develop personalized discharge plans.
• Serves as a resource on psychosocial, legal, and social determinants of health issues, and mentors new staff.
• Facilitates family meetings, advocates for patient needs, and supports community resource integration.
• Maintains accurate documentation and participates in performance improvement initiatives.
• Supports professional development, assists with precepting, and adheres to organizational policies to optimize patient outcomes.

Skills

Communication

Organizational skills

Problem solving

Stress management

Regulatory knowledge

Education

Associate or Bachelor’s degree in nursing

RN licensure

Basic Life Support (BLS) certification

Job description

Role Overview:

The RN Complex Care Coordinator assesses and manages the care of complex patients, ensuring safe and timely discharge plans across the healthcare continuum.

Key Responsibilities:

Conducts comprehensive clinical and psychosocial assessments, coordinates post-acute referrals, and collaborates with the interdisciplinary team to develop personalized discharge plans. Serves as a resource on psychosocial, legal, and social determinants of health issues, and mentors new staff. Facilitates family meetings, advocates for patient needs, and supports community resource integration. Maintains accurate documentation and participates in performance improvement initiatives.

Qualifications & Skills:

Requires an associate or bachelor’s degree in nursing, RN licensure, and active Basic Life Support certification. Minimum of 3 years healthcare experience, including 2 years in care coordination within acute care. Must possess strong communication, organizational, and problem-solving skills, with knowledge of regulations and community resources. Demonstrates maturity, confidence, and ability to work under stress in a fast-paced environment.

Additional Duties:

Supports professional development, assists with precepting, and adheres to organizational policies to optimize patient outcomes.