Registered Nurse (RN) -Acute Care - Care Coordination -Complex caseFT Days
On-siteAustell, Georgia, United States
Job Summary
Assess complex patient transitional care needs and coordinate care across the continuum to ensure safe discharge planning. Provide comprehensive clinical and psychosocial assessments for high-risk patients, identifying barriers and facilitating timely referrals to post-acute facilities and community resources. Partner with interdisciplinary teams, physicians, and families to address social determinants of health, financial needs, and end-of-life care planning. Carry a caseload of select complex patients, conduct family meetings, and mentor new care coordinators on challenging case reviews and difficult situations. Implement discharge plans that optimize resource consumption and support autonomous patient decision-making while documenting all progress in 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
- 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
- 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 be available for FT Days
Desired Qualifications
- Bachelors Nursing-Preferred
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