Care Coordination Nurse

Job Summary and Responsibilities

As our Care Coordination Nurse at Mercy Gilbert Medical Center, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.

Every day you will meticulously conduct and update discharge planning assessments, facilitating multidisciplinary collaboration for timely and smooth transitions to post-acute care settings. You'll oversee implementation of discharge plans, optimize inpatient resource utilization, identify and mitigate readmission risks, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.

To be successful in this role, you will demonstrate exceptional critical thinking, problem-solving, and professional communication skills. Your ability to thrive in a fast-paced, self-directed environment, prioritize effectively, and collaborate seamlessly within the Care Coordination Team is crucial. You must be dedicated to furthering the hospital's mission by enhancing the patient experience and ensuring optimal outcomes.

• Completes and documents a discharge planning assessment on those patients identified by the designated screening process, or upon request. Reassess the patient as appropriate and update the plan accordingly.

• Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.

• Oversees and evaluates the implementation of the discharge plan.

• Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.

• Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.

Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity!

• Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of one (1) year experience

• Graduate of an accredited school of nursing

• Registered Nurse: AZ or Compact license

• American Heart Association Basic Life Support, within 90 days

• Knowledge of managed care and payer environment

• Must have critical thinking and problem-solving skills

• Collaborate effectively with multiple stakeholders

• Understand how utilization management and case management programs integrate

• Ability to work as a team player and assist other members of the team where needed

• Knowledge of CMS standards and requirements

• Discharge Planning

• Bachelor's Degree in Nursing (BSN) or related healthcare field

• At least five (5) years of nursing experience

• Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN)

Where Compassion Meets Innovation:
Join Our Growing Family at the New Mercy Gilbert Women's and Children's Pavilion

At Mercy Gilbert Medical Center, we believe that Hello Human kindness is more than a slogan—it is our calling. We are expanding our legacy of excellence with the launch of our state-of-the-art Women’s and Children’s Pavilion: a destination designed to provide seamless, life-changing care from the earliest stages of pregnancy through the milestones of childhood.

We are looking for…