Registered nurse care health hospital
On-siteAtlanta, Georgia, United States
Job Summary
Assess complex patient transitional care needs and coordinate care across the continuum to implement timely, safe discharge plans. Provide comprehensive clinical and psychosocial assessments for high-risk patients, identifying barriers and initiating post-acute referrals to ensure appropriate transitions. Serve as an expert resource for interdisciplinary teams regarding social determinants of health, financial needs, and end-of-life care planning while advocating for patient autonomy. Mentor new care coordinators and student interns, participate in team meetings to reduce length of stay, and negotiate agreements with community agencies. Requires minimum 3 years in acute care and 2 years in care coordination.
Required Qualifications
- Minimum 3 years of experience in healthcare in the acute care setting, related field, skilled care or community environment in care coordination
- Minimum 2 years in care coordination in the acute care setting
- Knowledge regarding local, state and federal regulations
- Knowledge of community and state-wide resources and programs
- Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist through the continuum of care
- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing
Desired Qualifications
- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred
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