Senior Complex Care Nurse – Discharge & Transitions

Trinityhealth; Iowa (LA); On-site; USD 95,000 - 135,000; Full time

Job summary

Trinity Health is seeking a Nurse Senior - Complex Care Specialist to coordinate care for acutely hospitalized patients with highly complex needs. Embedded in the Acute Care Management team, you will drive advanced care coordination, remove barriers to progression, and support timely discharge planning while ensuring safe handoffs to outpatient and post‑acute resources.

This role requires leadership, collaboration across care teams, and adherence to nursing standards to improve patient outcomes

Qualifications

• RN licensure with ability to practice independently.
• Experience in complex care coordination and patient transitions.
• Ability to lead and mentor teams in a clinical setting.

Responsibilities

• Leads interdisciplinary complex care conferences to align patients, families, and care teams around goals, risks, barriers, and the inpatient plan.
• Ensures patient-centered care planning by identifying goals, values and informed decision-making for high-risk patients.
• Drives accountability for clear next steps, responsibilities, and discharge timelines with providers and leadership.
• Coordinates complex inpatient care through discharge, ensuring timely handoff to outpatient and post‑acute resources.
• Identifies system barriers and partners with leadership to resolve delays and improve care progression.

Job description

Trinity Health is seeking a Nurse Senior - Complex Care Specialist to coordinate care for acutely hospitalized patients with highly complex needs. Embedded in the Acute Care Management team, you will drive advanced care coordination, remove barriers to progression, and support timely discharge planning while ensuring safe handoffs to outpatient and post‑acute resources.

This role requires leadership, collaboration across care teams, and adherence to nursing standards to improve patient outcomes