RN Care Coordinator: Lead Seamless Care Transitions

CommonSpirit Health; Lufkin (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

St. Luke's Health - Memorial Lufkin is seeking a RN Care Coordinator to centralize patient care, guiding the healthcare journey to optimize outcomes and patient experience.

The role requires coordinating discharge plans, collaborating with physicians, nursing, insurers, and post-acute providers to ensure timely, high-quality transitions. Candidates should demonstrate strong clinical acumen and exceptional communication and advocacy skills, with a strategic mindset focused on optimizing care

Qualifications

• Strong clinical acumen and advocacy skills.
• Experience in discharge planning and care coordination.
• Ability to collaborate with multidisciplinary teams.

Responsibilities

• Complete and document discharge planning assessments and update plans.
• Develop multidisciplinary discharge plans with patients, families, and post-acute providers.
• Oversee implementation of discharge plans and ensure progress of care.
• Collaborate with healthcare team to optimize inpatient resource use per guidelines.
• Ensure timely transitions to appropriate post-acute services.
• Identify readmission risk and implement 30-day mitigation interventions.

Skills

Communication skills

Advocacy

Discharge planning

Care coordination

Education

Masters in Case Management or Nursing

Registered Nurse (TX)

Job description

St. Luke's Health - Memorial Lufkin is seeking a RN Care Coordinator to centralize patient care, guiding the healthcare journey to optimize outcomes and patient experience.

The role requires coordinating discharge plans, collaborating with physicians, nursing, insurers, and post-acute providers to ensure timely, high-quality transitions. Candidates should demonstrate strong clinical acumen and exceptional communication and advocacy skills, with a strategic mindset focused on optimizing care