RN Care Navigator: Mastering Patient Transitions

CHI; Council Bluffs (IA); On-site; USD 45,000 - 67,000; Full time

Job summary

At CHI Health Mercy Council Bluffs, we are seeking an RN Care Coordinator to guide patients through the care continuum, coordinating discharge planning and ensuring timely, high-quality transitions. You will work with physicians, nursing staff, insurers and post-acute providers, documenting assessments, creating multidisciplinary discharge plans, and monitoring implementation to reduce readmission risk.

Qualified candidates have a nursing degree and at least two years of acute hospital

Qualifications

• Graduate of an accredited school of nursing with active RN license.
• Minimum two years acute hospital clinical experience.
• Master's degree in Case Management or Nursing preferred.
• BLS CPR certification required within 90 days.
• RN license in the practice location upon hire.

Responsibilities

• Completes and documents discharge planning assessments and updates plans as needed.
• Develops multidisciplinary discharge plans involving patient, family, and post-acute providers.
• Oversees and evaluates discharge plan implementation.
• Collaborates with care teams to ensure appropriate inpatient resource use.
• Ensures timely transitions to post-acute services based on clinical needs.
• Identifies readmission risk and intervenes for at least 30 days.

Skills

Clinical nursing

Care coordination

Discharge planning

Communication

CPR/BLS

Education

BSN preferred

Master's degree in Case Management or Nursing

Certified Case Manager (CCM)

Accredited Case Manager (ACM)

Job description

At CHI Health Mercy Council Bluffs, we are seeking an RN Care Coordinator to guide patients through the care continuum, coordinating discharge planning and ensuring timely, high-quality transitions. You will work with physicians, nursing staff, insurers and post-acute providers, documenting assessments, creating multidisciplinary discharge plans, and monitoring implementation to reduce readmission risk.

Qualified candidates have a nursing degree and at least two years of acute hospital