RN Senior Care Coordinator: Discharge & Transitions

Wellstar Health Systems, Inc.; Richmond (VA); On-site; USD 90,000 - 130,000; Full time

Job summary

Wellstar Health System in the United States seeks an experienced RN Senior to coordinate care across the continuum, collaborating with physicians and care teams to drive effective discharge planning and resource utilization during acute hospital stays.

The role emphasizes expert clinical guidance, mentoring of staff, and ensuring patient and family engagement to meet care goals while navigating complex cases and post-discharge planning.

Qualifications

• Excellent written and verbal communication skills.
• Maturity, self-confidence, objectivity, and positive attitude.
• Self-directed with the ability to function well under stress.
• Knowledge of local, state and federal regulations; knowledge of community resources.

Responsibilities

• Transitional care planning, clinical care progression, psychosocial and functional status assessment; participate in care conferences and rounds.
• Collaborates with the utilization review nurse, physicians and care team to assess medical, psychosocial needs and discharge readiness.
• Assures progress toward discharge and assists to alleviate barriers to discharge.
• Precepting and mentoring of new hires; mentoring students and less-experienced staff.
• Participates in professional development and meets department goals; performs other duties as assigned.

Skills

Communication skills

Maturity & confidence

Self-directed

Problem solving

Regulatory knowledge

Education

RN license

BLS certification

Job description

Wellstar Health System in the United States seeks an experienced RN Senior to coordinate care across the continuum, collaborating with physicians and care teams to drive effective discharge planning and resource utilization during acute hospital stays.

The role emphasizes expert clinical guidance, mentoring of staff, and ensuring patient and family engagement to meet care goals while navigating complex cases and post-discharge planning.