RN Care Coordinator | Transition & Discharge Champion

American Geriatrics Society; Griffin (GA); On-site; USD 65,000 - 85,000; Full time

Job summary

The Care Coordinator RN (CC RN) at Wellstar is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage length of stay and promote efficient utilization of resources.

This role collaborates with physicians and the care team to provide comprehensive assessment, discharge planning, and post-acute referrals, ensuring timely transitions

Qualifications

• Excellent written and verbal communication skills.
• Maturity, self-confidence and ability to work under stress.
• Strong assessment, interview, organizational and problem-solving abilities.
• Knowledge of local, state and federal regulations.
• Ability to collaborate with physicians and care teams.

Responsibilities

• Assessment – initiates assessment of patients' chronic disease management needs and psychosocial risk factors.
• Discharge planning – manages all aspects of discharge planning and coordinates care progression.
• Care progression – facilitates communication among physicians, care teams, patients and families.
• Documentation – records interactions and ensures up-to-date records in the medical file.
• Post-acute referrals – initiates referrals for transitions to the next level of care.

Skills

Communication

Adaptability

Assessment skills

Regulatory knowledge

Teamwork

Education

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

Job description

The Care Coordinator RN (CC RN) at Wellstar is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage length of stay and promote efficient utilization of resources.

This role collaborates with physicians and the care team to provide comprehensive assessment, discharge planning, and post-acute referrals, ensuring timely transitions