RN Complex Care Navigator for Discharge & Transitions

Wellstar Health System; North Augusta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Wellstar Cobb Hospital is seeking a Complex Care Coordinator RN to assess complex patient needs, coordinate care across the continuum, and ensure a safe, timely discharge plan in collaboration with patients, families, and the care team.

The role emphasizes clinical and psychosocial assessment, resource coordination, and guidance to staff on complex discharge scenarios within the hospital setting.

Qualifications

• Comprehensive clinical and psychosocial assessments for complex patients.
• Collaboration with patient, family, and care team to support discharge planning.

Responsibilities

• Provide timely discharge planning and identify barriers to disposition.
• Coordinate care across the continuum for high-risk, complex patients.
• Participate in interdisciplinary rounds and community referrals as needed.
• Mentor and precept new care coordinators when applicable.

Skills

Care coordination

Discharge planning

Interdisciplinary teamwork

Patient education

Risk assessment

EHR proficiency

Tools

EHR systems

Job description

Wellstar Cobb Hospital is seeking a Complex Care Coordinator RN to assess complex patient needs, coordinate care across the continuum, and ensure a safe, timely discharge plan in collaboration with patients, families, and the care team.

The role emphasizes clinical and psychosocial assessment, resource coordination, and guidance to staff on complex discharge scenarios within the hospital setting.