Registered Nurse (RN) -Acute Care - Care Coordination -Complex caseFT Days
On-siteMarietta, Georgia, United States
Job Summary
Assess complex patient transitional care needs and coordinate care across the continuum to ensure timely, safe discharge planning. Provide comprehensive clinical and psychosocial assessments for high-risk patients, implementing discharge plans and facilitating post-acute referrals in conjunction with physicians and interdisciplinary teams. Serve as an expert resource for complex psychosocial, financial, and legal issues, partnering with community agencies to address social determinants of health. Mentor new care coordinators and student interns through case reviews and guidance on challenging family dynamics. Participate in interdisciplinary rounds to confirm discharge dates and recommendations, while documenting all progress notes and interactions within the Electronic Health Record.
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
- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing
- BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
- Excellent written and verbal communication skill
- 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
- Must possess maturity, self-confidence, objectivity, and positive attitude
- Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment
- Strong assessment, interview, organizational and problem-solving skills
- Relocation assistance for eligible candidates
Desired Qualifications
- Bachelors Nursing-Preferred
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