Registered Nurse (RN) Care Coordinator
Core
Coordinate patient care and service across the continuum of care, leading discharge planning and transitions to appropriate levels of care.
Role type
Registered Nurse Care Coordinator
Builds
Safe, timely, and cost-effective discharge plans and transitions for patients
Domain
Healthcare / Care Management
Required skills
Discharge planning, interdisciplinary collaboration, regulatory compliance (CMS), patient education, resource coordination, documentation
Preferred skills
Case management, quality improvement initiatives, complex case management referrals
Technologies
Electronic Health Records (EHR), CMS regulatory guidelines
Responsibilities
Lead discharge planning from admission through post-discharge follow-up; Collaborate with interdisciplinary team, patients, families, and community resources; Ensure compliance with federal and state discharge planning regulations; Educate patients and families on treatment plans and discharge options; Participate in quality improvement initiatives related to readmissions and patient outcomes
Seniority
Mid-level, hands-on IC