RN Care Coordinator: Discharge & Care Transitions

CommonSpirit Health; Sacramento (CA); On-site; USD 103,000 - 125,000; Full time

Job summary

Dignity Health - Methodist Hospital in Sacramento, CA seeks an RN Care Coordinator to help patients navigate the healthcare continuum and coordinate individualized care plans for optimal outcomes.

You will collaborate with interdisciplinary teams, advocate for patients, coordinate transitions of care, monitor progress, and connect patients with community resources, demonstrating strong clinical judgment and communication.

Qualifications

• RN licensure in California is required.
• Minimum two years of acute hospital clinical experience, or a Master's in Case Management/Nursing in lieu of 1 year of experience.
• BLS certification within 3 months of hire.
• Knowledge of CMS standards and requirements.
• Ability to apply clinical guidelines to ensure progression of care.
• Strong communication and collaboration skills.

Responsibilities

• Completes discharge planning assessments and reassesses as needed.
• Develops multidisciplinary discharge plans with the health team and post-acute providers.
• Coordinates transitions to appropriate post-acute services based on clinical needs.
• Identifies readmission risk and implements mitigation strategies for at least 30 days.
• Educates and advocates for patients.

Skills

Communication skills

Critical thinking

Team collaboration

CMS standards knowledge

Utilization management

Case management integration

Education

Active RN license California

BSN preferred

Job description

Dignity Health - Methodist Hospital in Sacramento, CA seeks an RN Care Coordinator to help patients navigate the healthcare continuum and coordinate individualized care plans for optimal outcomes.

You will collaborate with interdisciplinary teams, advocate for patients, coordinate transitions of care, monitor progress, and connect patients with community resources, demonstrating strong clinical judgment and communication.