Care Coordinator RN

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request. Reassess the patient as appropriate and update the plan accordingly.
• Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.
• Oversees and evaluates the implementation of the discharge plan.
• Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
• Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
• Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.

Graduate of an accredited school of nursing and Minimum two (2) years of acute hospital clinical experience, upon hire or Masters Other Case Management or Nursing field. and 1 year of experience, upon hire and Registered Nurse: TX, upon hire and Basic Life Support - CPR, within 90 Days and

• Bachelors Of Science Nursing and At least five (5) years of nursing experience., upon hire
• Certified Case Manager, upon hire
• Accredited Case Manager, upon hire

• medical
• prescription drug
• dental
• vision plans
• life insurance
• paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
• tuition reimbursement
• retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings