RN Care Coordinator: Patient Advocacy & Transitions

CommonSpirit Health; The Woodlands (TX); On-site; USD 90,000 - 110,000; Full time

Job summary

CommonSpirit Health is seeking an RN Care Coordinator for St. Luke’s Health - The Woodlands Hospital in The Woodlands, TX. The role focuses on navigating the patient care journey, assessing needs, and planning comprehensive care across the continuum to ensure timely, high-quality transitions.

Qualifications include RN licensure in Texas, 2+ years of acute hospital experience, and CPR/BLS within 90 days. A master's in Case Management or Nursing is preferred, with BSN also noted as a plus.

Qualifications

• Graduate of an accredited school of nursing and minimum two (2) years of acute hospital clinical experience.
• Masters in Case Management or Nursing field with 1 year of experience per hire.
• Registered Nurse: TX, upon hire.
• Basic Life Support (CPR) within 90 days.

Responsibilities

• Completes and documents discharge planning assessments and updates plans.
• Develops multidisciplinary discharge plans with patients, family, and post-acute providers.
• Oversees and evaluates discharge plan implementation.
• Collaborates with the healthcare team to ensure progression of care and appropriate inpatient resource use.
• Coordinates with post-acute providers for timely transitions based on clinical needs.
• Identifies readmission risk and implements mitigation strategies for at least 30 days.

Skills

RN clinical experience

Care coordination

Communication

Advocacy

Education

RN license

MS in Case Management or Nursing

BSN (preferred)

Job description

CommonSpirit Health is seeking an RN Care Coordinator for St. Luke’s Health - The Woodlands Hospital in The Woodlands, TX. The role focuses on navigating the patient care journey, assessing needs, and planning comprehensive care across the continuum to ensure timely, high-quality transitions.

Qualifications include RN licensure in Texas, 2+ years of acute hospital experience, and CPR/BLS within 90 days. A master's in Case Management or Nursing is preferred, with BSN also noted as a plus.