Registered Nurse - Complex Case Care Coordinator

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

Job summary

Live Well Homecare in Austell, GA seeks a Complex Care Coordinator to assess and manage care needs of high-risk patients, ensuring safe discharge planning and smooth care transitions.

You will conduct comprehensive assessments, coordinate across clinical teams, document interventions, mentor staff, and advocate for patient-centered outcomes, incorporating social determinants of health and end-of-life planning.

Qualifications

• RN license required.
• Minimum 3 years healthcare experience, including 2 years in care coordination within an acute care setting.
• Associate's or Bachelor's degree in Nursing required, with BLS certification.

Responsibilities

• Assess and manage the care needs of high-risk patients and coordinate across the continuum.
• Facilitate timely discharges and safe care transitions.
• Collaborate with interdisciplinary teams and mentor new staff/precept interns.
• Identify barriers to timely disposition and document assessments/interventions.
• Advocate for patient-centered care and consider social determinants of health.
• Conduct family meetings and integrate cultural or religious considerations.

Skills

Communication

Assessment

Organization

Problem-solving

Stress management

Education

Associate's or Bachelor's Nursing degree

RN license

BLS certification

Job description

Role

Complex Care Coordinator, responsible for assessing and managing the care needs of high-risk, complex patients to ensure safe and effective discharge planning and care transitions.

Responsibilities include

Conducting comprehensive clinical and psychosocial assessments, coordinating care across the continuum, facilitating timely discharges, and collaborating with interdisciplinary teams. Serving as a resource on social determinants of health, resource needs, and end-of-life planning, while mentoring new staff and precepting interns.

Key duties

Implementing discharge plans, identifying barriers to timely disposition, assessing insurance and resource requirements, documenting assessments and interventions, and advocating for patient-centered care. Facilitating family meetings and integrating cultural or religious considerations are also essential.

Qualifications

Minimum of an Associate's or Bachelor's Nursing degree, valid RN license, and certifications such as BLS. Requires at least 3 years of healthcare experience, including 2 years in care coordination within an acute care setting.

Skills

Excellent communication, assessment, organizational, and problem-solving abilities; ability to work under stress; knowledge of healthcare regulations; and proficiency in community resources. Must collaborate effectively with care teams and families to optimize patient outcomes.