RN Care Manager: Care Coordination & Transitions

Jobtailor; Toledo (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor is seeking an experienced RN Care Coordinator to provide coordination of care for patients, supporting safe transitions across the continuum. You will identify, assess, plan, implement and evaluate options to meet health and social needs, including social determinants.

In this role you will collaborate with care teams, caregivers and revenue cycle partners to ensure regulatory compliance, effective discharge planning and high-quality, cost-efficient outcomes.

Qualifications

• Must have BLS Basic Life Support (American Heart Association)
• RN License in the state of work or compact
• 1 year of experience in a clinical setting
• 3 years in an acute care clinical setting preferred

Responsibilities

• Provide coordination of care for patients to support safe, seamless, timely transitions across the continuum
• Identify, assess, plan, implement and evaluate options and services required to meet patients’ health and health-related needs, including social determinants
• Screen, identify and assess individuals needing active case management services
• Identify and prioritize patients using biopsychosocial, functional, cultural, spiritual and financial factors
• Plan with patients, caregivers and healthcare team members to maximize health care responses and quality and cost-effective outcomes
• Monitor and revise care plans when patient conditions change
• Complete clear, concise and timely patient-record documentation and handovers during care transitions
• Address post-hospital care needs and resources while incorporating patient and caregiver goals and preferences

Skills

Care coordination

Clinical knowledge

Communication

Teamwork

Critical thinking

Active listening

Problem solving

Relationship building

Education

Bachelor of Science in Nursing

Job description

Jobtailor is seeking an experienced RN Care Coordinator to provide coordination of care for patients, supporting safe transitions across the continuum. You will identify, assess, plan, implement and evaluate options to meet health and social needs, including social determinants.

In this role you will collaborate with care teams, caregivers and revenue cycle partners to ensure regulatory compliance, effective discharge planning and high-quality, cost-efficient outcomes.