Registered Nurse – Complex Case Care Coordinator

LiveWell Homecare Agency, LLC; Austell (GA); On-site; USD 70,000 - 90,000; Full time

Job summary

LiveWell Homecare Agency, LLC in Austell, GA seeks a Complex Care Coordinator to assess and manage high-risk, complex patients, ensuring safe discharge planning and smooth care transitions.

You will conduct clinical and psychosocial assessments, coordinate across the continuum, mentor staff, and advocate for patient-centered care while documenting interventions.

This role requires strong communication, organizational skills, and RN licensure with experience in acute care care coordination.

Qualifications

• Minimum of an Associate’s or Bachelor’s Nursing degree.
• RN license and BLS certification required.
• At least 3 years healthcare experience, including 2 years in care coordination in an acute care setting.
• Strong communication and organizational skills.

Responsibilities

• Conduct comprehensive clinical and psychosocial assessments.
• Coordinate care across the continuum and facilitate timely discharges.
• Collaborate with interdisciplinary teams and mentor staff.
• Assess insurance, resources, and document interventions.
• Facilitate family meetings and respect cultural/religious considerations.

Skills

Communication

Assessment

Organizational

Problem-solving

Stress management

Regulations knowledge

Community resources

Education

Nursing degree (Associate/Bachelor)

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.