Registered Nurse (RN) -Care Coordination FT Days
On-siteMartinez, California, United States
Job Summary
Assess transitional care needs, coordinate care across the continuum, and engage with patients and families to assure care needs are met. Initiate assessments of chronic disease management, psychosocial risk factors, and resource availability, while collaborating with physicians and the interdisciplinary team to establish discharge plans. Manage all aspects of disposition planning, identify barriers to timely discharge, and facilitate post-acute referrals through departmental processes. Proactively identify delays in diagnostic or treatment plans and resolve obstacles to expedite care progression. Document clinical and psychosocial assessments, ensure records are up-to-date, and track avoidable days to report trends. Complete mandatory education, support department goals, and serve as a preceptor for student interns if appropriate.
Required Qualifications
- Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred
- RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact
- BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor
- Minimum 1 year nursing experience in the acute care setting. Required
- 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 required
- 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 with progression of care through their transition to the next level of care
- Must be able to lift 50 lbs
Desired Qualifications
- Bachelors Nursing-Preferred
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