RN Care Coordinator Acute Care

UnityPoint Health; Sioux City (IA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid time off

401K matching

Dental and health insurance

Daily Pay

Tuition reimbursement

Adoption assistance

Pet insurance

Job summary

UnityPoint Health is seeking a collaborative care coordinator in Sioux City, IA to guide patients across the acute care continuum and support safe transitions, discharge planning, and community referrals. The role emphasizes educating patients and families, addressing social determinants of health, and reducing readmissions.

The ideal candidate holds an RN license with ADN/ Diploma and a BSN preferred, and has several years in RN care coordination or discharge planning across cardiac or

Qualifications

• Graduate of an accredited nursing program (ADN or nursing diploma) required.
• BSN preferred.
• Three years clinical RN experience in acute care required.
• One year experience with the population served preferred.
• Two years in care coordination, utilization management or discharge planning preferred.
• One year post-acute care experience preferred.
• Three years cardiac/cardiovascular patient care preferred.
• Two years rehab nursing or complex rehab experience preferred.
• Two years pediatric clinical experience preferred.

Responsibilities

• Screens and assesses patients to identify clinical, psychosocial, financial and legal concerns.
• Prioritizes patients for care coordination using screening tools.
• Develops and coordinates an individualized plan of care.
• Supports interdisciplinary care rounds and documents the plan in the medical record.
• Collaborates with patients, families, providers and payers to arrange services and ensure safe transitions.

Skills

RN

Care coordination

Discharge planning

Interdisciplinary collaboration

Education

Associate's Degree in Nursing

BSN

Job description

Job ID: 188177

Area of Interest: Nursing

FTE/Hours per pay period: 0.9

Department: Case Management- SLRMC

Shift: 3-12 hour shifts, alternating weekends- Emergency Department

Job ID: 188177

Overview

UnityPoint-St Luke's Emergency Department

Full-Time

3 12-hour shifts, with alternating weekends

We are seeking a collaborative care coordinator to guide patients across the acute care continuum by partnering with physicians, nursing, social work, and ancillary teams to build and implement individualized care plans. This role involves conducting assessments, monitoring clinical progress and resource use, and supporting safe, effective transitions including discharge planning and community referrals. The ideal candidate will educate patients and families, address social determinants of health, and help ensure optimal outcomes such as reduced readmissions and appropriate length of stay.

Why UnityPoint Health?

At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

• Screens andassesspatientsto identify clinical, psychosocial, financial and legal concerns that affect recovery and transition needs
• Prioritizes patients for care coordinationusing screening tools.
• Develops and coordinates an individualized plan of care
• Supportsinterdisciplinary care rounds and documents the plan in the medical record
• Collaborates with patients, families, providers, nursing, social work, payers, and agencies to eliminate barriers, arrange services, and execute safe transitions across levels and locations of care
• Coordinates access to post-acute resources including home care, equipment, medications, therapies and follow-up appointments
• Provides thorough handoff to the next care team
• Monitors progression of care, avoidable days and length of stay targets
• Escalates issues that may result in failed discharge or readmission
• Maintains thorough and timely documentation of assessments, plans and interventions to ensure continuity and regulatory compliance
• Administers and/or delegates administration of Medicare notices per regulatory guidelines.
• CollaborateswithUtilizationManagement specialists
• Coordinates pre-authorization for diagnostic tests, procedures and treatments with payers
• CommunicatesUtilizationManagementdeterminations impacting discharge planning and resource utilizationwith the care team.
• Functions as a resource for external agencies requiring clinical review of patient conditions and care
• Assesses patient and family learning needs and readiness
• Formulates and updates individualized teaching plans in coordination with the care team and evaluates outcomes
• Facilitates education regarding disease process, treatment plan, medications and self-management; empowers patients and families to utilize healthcare resources appropriately
• Provides ongoing education throughout hospitalization and transition, reinforcing discharge instructions and coordinating community resources to support continuity of care
• Acts as a clinical resource and mentor to staff on care coordination practices, criteria application and documentation standards
• Monitors readmissions, length of stay, avoidable days and other indicators
• Identifies trends and implements improvement opportunities with multidisciplinary partners
• Performs quality data collection andreporting asassigned
• Supports development of policies and forms to meet regulatory and documentation requirements
• Engages in process improvement initiatives to enhance patient flow, effectiveness of care coordination and transitions of care
• Supports and coaches accurate clinical documentation by physicians and the healthcare team to optimize outcomes and compliance

Qualifications

Education:

• Graduate of an accredited nursing program (Associate's Degree in Nursing or nursing diploma) required.
• Bachelor of Science in Nursing (BSN) preferred.

Experience:

• Three (3) years Clinical RN experience in acute care or hospital settings, collaborating with multidisciplinary teams and caring for specific patient populations required.
• One (1) year’s experience working with the population to which the care coordinator will be assigned preferred.
• Two (2) years experience in care coordination/case management, utilization management, or hospital discharge planning preferred.
• One (1) year post-acute care experience preferred.
• Three (3) years cardiac/cardiovascular patient care (e.g., Heart Failure and/or pulmonary vascular disease), inpatient or outpatient preferred.
• Two (2) years rehabilitation nursing or complex rehabilitation experience with chronically or catastrophically ill individuals; managing complex health, disability, and financial resources in community settings preferred.
• Two (2) years pediatric clinical experience working with multidisciplinary teams preferred.

License(s)/Certification(s):

• Valid RN License in the state(s) of practice, including eligibility under a NLC multistate license required.
  • Iowa Board of Nursing (IABON)
  • Illinois Department of Financial & Professional Regulation (IDFPR)
  • Wisconsin Department of Safety and Professional Services (WIDSPS)
• Dual licensed positions must obtain and submit proof of dual licensure within 90 days of hire/transfer; proof of application is acceptable during this period.
• Basic Life Support (BLS) through the American Heart Association (AHA) preferred within 90 days of hire.
• Advanced Cardiovascular Life Support (ACLS) through the American Heart Association (AHA) preferred within 180 days of hire.
• Certification as a healthcare coach nurse is preferred within one (1) year of hire.
  • Health & Wellness Nurse Coach Board Certified through the American Holistic Nurses Credentialing Corporation (AHNCC)
  • National Board-Certified Health & Wellness Coach through the National Board for Health & Wellness Coaching (NBHWC)
• Management of Aggressive Behavior Training through the Management of Aggressive Behavior Training International Inc (MOAB) preferred.
• Certified Case Manager or Accredited Case Manger Case Management RN-BC preferred
  • American Nurses Credentialing Center (ANCC)
  • Commission for Case Manager Certification (CCMC)
• Certification in relevant patient population/disease management per hiring department preferred
  • Certified Diabetes Care and Education Specialist – Certification Board for Diabetes Care and Education (CBDCE)
  • Certified Heart Failure Nurse – American Association of Heart Failure Nurses (AAHFN)
  • Certified Hospice and Palliative Nurse – Hospice and Palliative Credentialing Center (HPCC)
  • Certified Rehab Nurse – Association of Rehabilitation Nurse (ARN)
  • Gerontological RN – BC – American Nurses Credentialing Center (ANCC)
• IA Child Abuse Mandatory Reporter Training in State(s) where providing care required within 90 days of hire.
• IA Adult Dependent Abuse Mandatory Reporter Training in state(s) where providing care required within 90 days of hire.
• IL Child Abuse Mandatory Reporter Training in State(s) where providing care required within 90 days of hire.
• IL Adult Dependent Abuse Mandatory Reporter Training in state(s) where providing care required within 90 days of hire.

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