Care Coordinator RN

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Job Summary and Responsibilities
As a RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.

Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions.

To be successful in this role, you will possess strong clinical acumen, exceptional communication and advocacy skills, and a strategic mindset, all driven by a passion for optimizing patient care across every touchpoint.

• Completes and documents a discharge planning assessment on 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 patient's 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 patient's clinical needs.
• Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.

• Graduate of an accredited school of nursing with minimum two (2) years of acute hospital clinical experience, upon hire.
• Master's in Case Management or Nursing field, and 1 year of experience, upon hire.
• Licensed Registered Nurse (RN) in TX, upon hire.
• Basic Life Support (BLS) / CPR, within 90 days of hire.

• Bachelor of Science in Nursing (BSN); at least five (5) years of nursing experience.
• Certified Case Manager (CCM), upon hire.
• Accredited Case Manager (ACM), upon hire.

St. Luke's Health–Sugar Land Hospital offers the latest technology and treatments for residents of Fort Bend County and Southwest Houston. Our services range from heart care and neuroscience to robotic surgery. Our recently opened Family Birthing Center offers incomparable care and amenities in a spa-like environment to provide a VIP—Very Important Pregnancy—experience. Since 2008, our experienced doctors, nurses, and support staff have provided expert care to support our community.

$53.00 - $53.00 /hour