RN Care Coordinator: Seamless Discharge & Transitions

Wellstar Health System; Blythe (GA); On-site; USD 75,000 - 95,000; Full time

Job summary

Wellstar Health System is seeking a Care Coordinator RN (CC RN) to assess transitional care needs and coordinate care across the continuum. The role involves engaging with patients and families, planning for discharge, and working with the care team to ensure timely progression and efficient use of resources.

Responsibilities include psychosocial and functional assessments, discharge planning, and collaboration with physicians and the utilization review team to meet patient goals.

Qualifications

• Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred.

Responsibilities

• Assess patients' transition needs and psychosocial factors.
• Coordinate discharge planning and post-acute referrals.
• Collaborate with physicians, care team, and family to ensure care progression and discharge goals.
• Document findings and care plans in the medical record.
• Participate in interdisciplinary rounds and care conferences.
• Identify and resolve barriers to timely discharge.

Skills

Communication

Acute care

Nursing experience

Discharge planning

Collaboration

Education

Associate Degree in Nursing

Diploma in Nursing

Bachelor of Science in Nursing (BSN) - Preferred

Job description

Wellstar Health System is seeking a Care Coordinator RN (CC RN) to assess transitional care needs and coordinate care across the continuum. The role involves engaging with patients and families, planning for discharge, and working with the care team to ensure timely progression and efficient use of resources.

Responsibilities include psychosocial and functional assessments, discharge planning, and collaboration with physicians and the utilization review team to meet patient goals.