RN Care Navigator: Discharge & Care Transitions Lead

CommonSpirit Health; Pueblo (CO); On-site; USD 70,000 - 90,000; Full time

Job summary

CommonSpirit Health is seeking an RN Care Coordinator in Colorado to oversee care progression and discharge planning, ensuring quality, cost-effective outcomes and strict adherence to hospital policies.

You will collaborate with utilization management, nursing, physicians, and post-acute providers to advance care toward optimal results, advocate for patients, and address barriers to transitions while ensuring a positive patient experience.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum two (2) years of acute hospital clinical experience or a Master’s degree in Case Management or Nursing in lieu of 1 year experience.
• RN license in the state(s) covered: CO or Compact states.
• BLS required within 3 months of hiring.

Responsibilities

• Oversee progression of care and discharge planning to promote quality and cost-effective outcomes.
• Coordinate, communicate, and collaborate with utilization management, nursing, physicians, and post-acute providers to progress care toward optimal outcomes.
• Advocate for patients and families, identifying barriers to care transitions.
• Develop a multidisciplinary discharge plan engaging health team members and post-acute providers.
• Collaborate to ensure timely transitions to appropriate post-acute services based on clinical needs.
• Complete and document discharge planning assessments and reassess as needed.
• Identify readmission risk and implement interventions for at least 30 days.
• Oversee and evaluate discharge plan implementation.
• Work with the team to ensure progression of care and appropriate inpatient resource utilization.

Skills

Clinical judgment

Communication

Collaboration

Care coordination

Education

BSN or higher

Master’s degree in Case Management or Nursing

Job description

CommonSpirit Health is seeking an RN Care Coordinator in Colorado to oversee care progression and discharge planning, ensuring quality, cost-effective outcomes and strict adherence to hospital policies.

You will collaborate with utilization management, nursing, physicians, and post-acute providers to advance care toward optimal results, advocate for patients, and address barriers to transitions while ensuring a positive patient experience.