Registered Nurse – Complex Case Care Coordinator

LiveWell Homecare Agency; Austell (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

LiveWell Homecare Agency in Austell, GA seeks a Complex Care Coordinator to assess and manage needs of high-risk patients, ensuring safe discharge planning and continuity of care across settings. The role partners with hospital teams, community resources, and families to support transitions and caregiver education while maintaining compliance and quality standards.

Ideal candidates hold an RN license (ADN/BSN), an associates or bachelor’s nursing degree, and BLS certification, with at least 3

Qualifications

• RN license (multi-state) is required.
• Minimum 3 years healthcare experience, with at least 2 years in care coordination.
• BLS certification required upon hire.

Responsibilities

• Conduct comprehensive clinical and psychosocial assessments to develop individualized discharge plans.
• Coordinate care across the continuum, addressing barriers to timely discharge and resource needs.
• Partner with interdisciplinary teams, community resources, and family members to support patient needs, including end-of-life planning.
• Document assessments, interventions, and care plans accurately in electronic health records.
• Mentor and precept new staff and interns, sharing expertise on complex cases and social determinants of health.
• Participate in hospital meetings, facilitate discharge processes, and support community agency negotiations.
• Ensure compliance with policies, regulations, and ongoing professional development.

Skills

RN license

Care coordination

BLS

Communication

Education

Nursing degree (ADN/BSN)

Job description

Role Overview:

The Complex Care Coordinator assesses and manages the needs of high-risk, complex patients, ensuring safe discharge planning and care continuity. They serve as an expert resource for clinical, psychosocial, and resource-related issues, collaborating with the care team and engaging patients and families to facilitate appropriate transitions across care settings.

Key Responsibilities:

• Conduct comprehensive clinical and psychosocial assessments to develop individualized discharge plans.
• Coordinate care across the continuum, addressing barriers to timely discharge and resource needs.
• Partner with interdisciplinary teams, community resources, and family members to support patient needs, including end-of-life planning.
• Document assessments, interventions, and care plans accurately in electronic health records.
• Mentor and precept new staff and interns, sharing expertise on complex cases and social determinants of health.
• Participate in hospital meetings, facilitate discharge processes, and support community agency negotiations.
• Ensure compliance with policies, regulations, and ongoing professional development.

Qualifications & Skills:

• Associates or Bachelor’s Nursing degree; RN license (single or multi-state compact).
• Minimum 3 years healthcare experience, with at least 2 years in care coordination within a hospital or community setting.
• Certifications: BLS required upon hire.
• Excellent communication, assessment, organizational, and problem-solving skills.
• Knowledge of regulations, community resources, and ability to work collaboratively with diverse teams and patient families.