Senior Care Coordination RN – Discharge & Care Manager

Wellstar Health System, Inc.; Marietta (GA); On-site; USD 80,000 - 110,000; Full time

Job summary

The Care Coordinator RN Sr. at Wellstar Health System, Inc. coordinates transitional care for the most complex cases during acute admission, aligning with physicians and care teams to drive efficient treatment plans.

The role includes assessment, discharge planning, and family engagement to ensure needs are met and care progression is optimized. It also covers mentoring new hires, attending rounds and conferences, and collaborating with utilization review to address barriers to discharge while

Qualifications

• RN license in Georgia with active status.
• BLS certification required.
• ACM or CCM preferred upon hire.

Responsibilities

• Assess psychosocial risk factors and discharge needs.
• Coordinate with PAS, financial counselors, and UM nurse for insurance coverage.
• Collaborate with patient, family, physicians for care progression and discharge plans.
• Meet with physicians and care team to ensure timely patient management.
• Participate in interdisciplinary rounds and patient/family care conferences.
• Document clinical/psychosocial assessments and discharge planning in medical records.
• Precept and mentor new hires; support professional development.

Skills

Clinical assessment

Care coordination

Communication

Team collaboration

Education

Associate or Diploma in Nursing - or BSN preferred

Job description

The Care Coordinator RN Sr. at Wellstar Health System, Inc. coordinates transitional care for the most complex cases during acute admission, aligning with physicians and care teams to drive efficient treatment plans.

The role includes assessment, discharge planning, and family engagement to ensure needs are met and care progression is optimized. It also covers mentoring new hires, attending rounds and conferences, and collaborating with utilization review to address barriers to discharge while