RN; Registered Nurse Care Coordinator

RN (Registered Nurse) Care Coordinator - FT Days

Location:

Austell, Georgia.

Work Shift:

Day.

The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage the length of stay and promote efficient utilization of resources. The role integrates care facilitation, care progression, and transitional care planning functions.

Assessment

• Initiates assessment of chronic disease management needs and psychosocial risk factors.
• Collaborates with financial & utilization review staff to assess insurance and coverage requirements.
• Supports patients, families, physicians, and care team in establishing and supporting care progression and discharge plans.
• Meets with physicians and care team routinely to collaborate on timely patient management.

Disposition Planning

• Manages all aspects of discharge planning for assigned patients.
• Implements discharge planning in a timely and efficient manner.
• Develops individualized discharge plans in collaboration with physicians.
• Identifies and documents barriers to timely disposition.
• Maintains discharge plan consensus with patients, families, physicians, care teams, and payers.
• Responds to referrals for post-acute needs.
• Participates in interdisciplinary rounds to confirm estimated discharge dates and make recommendations for transition.
• Initiates post‑acute referrals through departmental processes.
• Refers appropriate cases for social work intervention as per protocol.

Care Progression

• Collaborates with physicians and care team to facilitate communication regarding care progression.
• Proactively identifies delays in diagnostics or treatments that may lead to discharge delays.
• Discusses medical necessity of inpatient testing with physicians and recommends outpatient alternatives when appropriate.
• Resolves barriers to discharge and escalates issues to the appropriate leader.

Documentation

• Completes and documents initial clinical/psychosocial assessment.
• Ensures records are up‑to‑date and documentation is clear and concise.
• Maintains accurate and timely progress notes of interactions relevant to discharge plans.
• Accounts for all services arranged or delivered in the electronic medical record.
• Tracks avoidable days and reports trends that lead to undesired outcomes.

Professional Development and Initiative

• Completes ongoing professional competency assessments and mandatory or population‑specific education.
• Supports department‑based goals contributing to organizational success.
• Serves as a preceptor or mentor for student interns (if appropriate).

Performs other duties as assigned and complies with all Wellstar Health System policies, standards, and code of conduct.

• Associate’s degree in Nursing or Diploma (Nurse). Bachelors in Nursing Preferred.

• RN – Registered Nurse (Single State) or RN‑COMPACT – Multi‑state Compact.
• BLS – Basic Life Support or ARC‑BLS – American Red Cross Basic Life Support or BLS‑I – BLS Instructor.

Minimum 1 year of nursing experience in the acute care setting.

• Excellent written and verbal communication.
• Maturity, self‑confidence, objectivity, and a positive attitude.
• Self‑directed ability to function under stress, handle change, and work in a fast‑paced environment.
• Strong assessment, interview, organizational and problem‑solving skills.
• Knowledge of local, state, and federal regulations.
• Knowledge of community and statewide resources and programs.
• Ability to work collaboratively with physicians, care team members, and patients/families.