RN Care Coordinator: Discharge & Care Transitions Lead

CommonSpirit Health; Bismarck (ND); On-site; USD 34,000 - 47,000; Full time

Benefits offered by this job

Employment incentive

Job summary

CommonSpirit Health is seeking an RN Care Coordinator to oversee care progression and discharge planning for identified patients, ensuring quality and cost-effective outcomes while aligning with hospital policies.

You will collaborate with utilization management, nursing, physicians, insurers, and post-acute providers to optimize outcomes and enhance patient experience, advocating for patients and families throughout transitions.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management in lieu of 1 year experience.
• RN license in the state(s) covered is required. North Dakota RN:ND or Compact.
• BLS required within 3 months of hiring.

Responsibilities

• Discharge Assessment & Planning: Conduct and document comprehensive discharge assessments, updating plans as patient needs evolve.
• Multidisciplinary Coordination: Lead the development and implementation of discharge plans by collaborating with the healthcare team, patients, families, and post-acute providers.
• Care Progression & Utilization: Partner with the clinical team to manage resource utilization and ensure the progression of care using evidence-based criteria.
• Transition & Readmission Management: Facilitate seamless transitions to post-acute settings and implement targeted interventions to mitigate readmission risks for at least 30 days.
• Patient Education & Advocacy: Serve as a patient advocate, ensuring all mandatory notifications are delivered, documentation is accurate, and patients are educated on their care.
• Compliance & Professional Standards: Maintain adherence to organizational mission, hospital policies, and regulatory standards while participating in performance improvement and ongoing professional education.

Skills

RN license

Care coordination

Discharge planning

Patient advocacy

Education

Nursing degree

Master's in Case Management

Job description

CommonSpirit Health is seeking an RN Care Coordinator to oversee care progression and discharge planning for identified patients, ensuring quality and cost-effective outcomes while aligning with hospital policies.

You will collaborate with utilization management, nursing, physicians, insurers, and post-acute providers to optimize outcomes and enhance patient experience, advocating for patients and families throughout transitions.