RN Care Transition & Discharge Navigator

Wellstar Health System, Inc.; Martinez (GA); Vor Ort; USD 75.000 - 95.000; Vollzeit

Zusammenfassung

Wellstar Health System, Inc. is seeking a Care Coordinator RN to assess transitional care needs, coordinate across the continuum, and engage with patients and families to ensure care needs are met.

The role includes psychosocial assessment, discharge planning, and education to promote efficient resource use. The CC RN collaborates with physicians, the care team, and utilization review to optimize care progression and discharge readiness, while addressing barriers and social determinants of

Qualifikationen

• Excellent written and verbal communication; able to work under pressure and adapt to change.
• Experience coordinating care across multiple disciplines and settings.
• Knowledge of regulatory requirements and community resources.

Aufgaben

• Assessment of chronic disease management and psychosocial risk factors; plan for discharge.
• Discharge planning management and resource coordination with patient/family and care team.
• Facilitate interdisciplinary rounds and post-acute referrals.
• Document care plans and progress in the medical record.
• Engage in professional development and mentor student interns where appropriate.

Kenntnisse

Communication

Care coordination

Interdisciplinary teamwork

Assessment

Documentation

Ausbildung

Associates/Diploma in Nursing

BSN preferred

RN license (single-state) or multi-state compact

BLS certification

Jobbeschreibung

Wellstar Health System, Inc. is seeking a Care Coordinator RN to assess transitional care needs, coordinate across the continuum, and engage with patients and families to ensure care needs are met.

The role includes psychosocial assessment, discharge planning, and education to promote efficient resource use. The CC RN collaborates with physicians, the care team, and utilization review to optimize care progression and discharge readiness, while addressing barriers and social determinants of