RN Care Coordinator - Discharge & Transitions

California Hospital Medical Center; United States; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

California Hospital Medical Center in downtown Los Angeles is seeking an RN Care Coordinator to lead discharge planning, coordinate multidisciplinary care, and advocate for patients across the care continuum. You will work with physicians, nursing, insurers, and post-acute providers to ensure timely, high-quality transitions.

The role requires strong clinical acumen, excellent communication, and a strategic mindset to improve patient outcomes and experience in a fast-paced hospital setting.

Qualifications

• Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
• California RN license
• AHA BLS card
• LA City Fire Card required within 90 days of hire.
• Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used.
• Able to apply clinical guidelines to ensure progression of care.

Responsibilities

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request.
• Reassess the patient as appropriate and update the plan accordingly.
• Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.
• Oversees and evaluates the implementation of the discharge plan.
• Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
• Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
• Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.

Skills

Discharge planning

Care coordination

Patient advocacy

Communication skills

Team collaboration

Education

Master's degree in Case Management or Nursing

California RN license

Job description

California Hospital Medical Center in downtown Los Angeles is seeking an RN Care Coordinator to lead discharge planning, coordinate multidisciplinary care, and advocate for patients across the care continuum. You will work with physicians, nursing, insurers, and post-acute providers to ensure timely, high-quality transitions.

The role requires strong clinical acumen, excellent communication, and a strategic mindset to improve patient outcomes and experience in a fast-paced hospital setting.