RN Care Coordinator Acute Care

Overview

RN Care Coordinator

Allen Hospital

Full-time, Days

M-F, 8am-4:30pm, 1 holiday/year, 4-6 weekends/year

We are seeking a collaborative care coordinator to guide patients across the acute care continuum by partnering with physicians, nursing, social work, and ancillary teams to build and implement individualized care plans. This role involves conducting assessments, monitoring clinical progress and resource use, and supporting safe, effective transitions including discharge planning and community referrals. The ideal candidate will educate patients and families, address social determinants of health, and help ensure optimal outcomes such as reduced readmissions and appropriate length of stay.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Screens andassesspatientsto identify clinical, psychosocial, financial and legal concerns that affect recovery and transition needs
• Prioritizes patients for care coordinationusing screening tools.
• Develops and coordinates an individualized plan of care
• Supportsinterdisciplinary care rounds and documents the plan in the medical record
• Collaborates with patients, families, providers, nursing, social work, payers, and agencies to eliminate barriers, arrange services, and execute safe transitions across levels and locations of care
• Coordinates access to post-acute resources including home care, equipment, medications, therapies and follow-up appointments
• Provides thorough handoff to the next care team
• Monitors progression of care, avoidable days and length of stay targets
• Escalates issues that may result in failed discharge or readmission
• Maintains thorough and timely documentation of assessments, plans and interventions to ensure continuity and regulatory compliance
• Administers and/or delegates administration of Medicare notices per regulatory guidelines.
• Collaborates with Utilization Management  specialists
• Coordinates pre-authorization for diagnostic tests, procedures and treatments with payers
• Communicates Utilization Managementdeterminations  impacting discharge planning and resource utilizationwith the care team.
• Functions as a resource for external agencies requiring clinical review of patient conditions and care
• Assesses patient and family learning needs and readiness
• Formulates and updates individualized teaching plans in coordination with the care team and evaluates outcomes
• Facilitates education regarding disease process, treatment plan, medications and self-management; empowers patients and families to utilize healthcare resources appropriately
• Provides ongoing education throughout hospitalization and transition, reinforcing discharge instructions and coordinating…