Onsite Care Coordination Nurse
Core
Provide face-to-face assessments and lead care coordination for newly admitted members in acute care settings to ensure safe transitions from hospital to home.
Role type
Onsite Care Coordination Nurse
Builds
Smooth, safe, and timely transitions from hospital to home for newly admitted members
Domain
Healthcare / Acute Care / Care Coordination
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Acute care nursing experience, discharge planning, care coordination, gap identification, provider collaboration, documentation, infection control
Preferred skills
BSN, care management, health promotion, utilization management, health plan experience, bilingual (English/Spanish), care management certification
Technologies
Microsoft Office (Word, Outlook, Excel), electronic medical records
Responsibilities
Conduct comprehensive face-to-face assessments of newly admitted members; Support and educate members and families on discharge planning; Identify gaps in care and develop strategies to address them; Collaborate with providers and case managers for coordinated care; Provide education on diagnoses and medications to reduce readmission risk; Complete required documentation accurately.
Seniority
Mid-level, hands-on IC
