RN Patient Care Coordinator - Discharge & Post-Acute Planning

Provident Behavioral Health; Arlington (VA); On-site; USD 62,000 - 88,000; Full time

Job summary

Provident Behavioral Health is seeking a Patient Care Coordinator to manage and coordinate care for the acute inpatient population. You will collaborate with physicians, nursing, social workers, and community providers to ensure safe discharges and smooth patient progression.

Responsibilities include rapid initial assessments, daily care documentation, and coordinating post-acute referrals. Strong communication, critical thinking, and organizational skills are essential, with RN licensure and

Qualifications

• At least 1 year of acute care nursing experience.
• Associate degree in nursing required; active RN licensure.
• BLS certification, EMR experience, and strong communication, critical thinking, and organizational skills.

Responsibilities

• Conducts initial assessments within 24 hours of admission to identify discharge needs and develops transition plans.
• Documents care plans, updates, and barriers daily to ensure timely progression with the care team.
• Participates in daily rounds, monitors progress, and addresses discharge delays.
• Coordinates post-acute care referrals (home health, SNF, rehab, durable medical equipment) and communicates follow-up plans to patients and families.
• Collaborates with social workers on long-term care, financial assistance, and community services; escalates delays or systemic issues.
• Ensures compliance with safety policies, participates in QA programs, and maintains professionalism and teamwork.

Skills

Communication skills

Critical thinking

Organizational skills

Education

Associate degree in Nursing (ADN)

Registered Nurse licensure (RN)

BSN (preferred)

Tools

Electronic Medical Records (EMR)

Job description

Provident Behavioral Health is seeking a Patient Care Coordinator to manage and coordinate care for the acute inpatient population. You will collaborate with physicians, nursing, social workers, and community providers to ensure safe discharges and smooth patient progression.

Responsibilities include rapid initial assessments, daily care documentation, and coordinating post-acute referrals. Strong communication, critical thinking, and organizational skills are essential, with RN licensure and