RN Care Coordinator

Position Overview

Part time – 20 hours a week.

Scope of Work:
Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. The overall goal is to enhance patient care quality, promote continuity of care, and ensure cost effectiveness through utilization management, care coordination, discharge planning, and appropriate care transitions.

• Accountability for care coordination and discharge planning of all hospitalized patients.
• Identify patients requiring care management services (utilization review, care coordination, and/or discharge/transition planning).
• Manage a case load of patients, facilitating utilization management and care coordination throughout the patient’s stay.
• Plan and expedite safe and effective discharge and transition to the appropriate level of care and setting.
• Coordinate care by considering all patient needs and using critical thinking and effective judgment to determine alternative courses of care.
• Use tools designed to expedite care while maintaining cost effectiveness.
• Participate in readmission initiatives and strategies to maximize patient flow and resource utilization.
• Collaborate on processes to provide effective transitions for patients using hospital outpatient, observation or inpatient services.
• Review cases for medical necessity, use Inter Qual and/or other UR/UM Committee‑approved screening criteria when appropriate.
• Collaborate with departmental, revenue cycle, clinical appeals staff, physicians, and payers to obtain authorization for care and reimbursement.
• Determine and assure appropriate status and level of care using available resources.
• Communicate routinely with payers, patients/family caregivers, physicians, the interdisciplinary team, and community‑based providers to facilitate coordination and seamless transition from hospital to alternative care.
• Seek information and resources to solve complex discharge/transition planning, quality of care, and utilization management issues.
• Provide notification and communication to patients/families regarding coverage for hospital and post‑acute services per CMS regulations.
• Document utilization reviews, utilization management actions, care and discharge plans according to policies, procedures, and regulatory requirements.
• Act proactively to ensure appropriate use of hospital resources.
• Collaborate with other departments to identify inefficiencies and participate in improvement projects.

• Bachelor’s Degree in Nursing, graduate of an accredited school of nursing.
• Will consider non‑BSN registered nurses actively pursuing a Bachelor’s degree with completion within two years of hire.
• Minimum two years of relevant experience in the acute care setting.
• Three to five years of experience in care management, utilization review, home care, or discharge planning.

• Registered Nurse (RN) – State of Michigan.
• Upon hire, Basic Life Support (BLS) – AHA American Heart Association (preferred).
• Basic Life Support (BLS) – ARC American Red Cross (preferred).
• Case Manager Certified (CCM) – CCMC Commission for Case Manager Certification, upon hire (preferred).

• Comprehensive benefits package to meet financial, health, and work/life balance goals.
• On‑demand pay program powered by Payactiv.
• Discounts directory with deals on restaurants, phone plans, spas, and more.
• Optional identity theft protection, home and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.
• Eligibility determined by employment type and status.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on‑site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.