Care Coordinator RN

6 days ago


Austin, Texas, United States Central Health Full time

At Central Health, we are seeking a skilled Care Coordinator RN to join our team. In this role, you will play a vital part in ensuring seamless transitions of care for our patients, working closely with healthcare professionals to optimize their treatment plans and provide patient-centered education.

About the Role

This position is ideal for a compassionate and organized individual with experience in primary care settings or ambulatory clinics. As a Care Coordinator RN, you will work collaboratively with patients, families, and care teams to identify high-risk patients, coordinate discharge teaching, and facilitate post-discharge appointments. Your expertise in patient navigation and transitions of care will be essential in preventing readmissions and promoting positive clinical outcomes.

You will work under the supervision of the Transitions of Care Director, collaborating with various stakeholders, including case management, post-acute teams, and inpatient case management and provider teams. This position requires strong assessment skills, excellent verbal and written communication, and the ability to advocate for patients through multiple systems.

We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience, which is significantly higher than the national average for similar positions. Our benefits package includes comprehensive health insurance, retirement savings plan, and generous paid time off. If you are passionate about delivering exceptional patient care and value a dynamic work environment, we encourage you to apply.

Responsibilities
  • Coordinates with Case Management/Care Coordination teams regarding readmission prevention
  • Assists with identification of patients at high risk for readmission
  • Proactive collaboration to facilitate discharge teaching for readmitted/high risk patients prior to or at discharge
  • Schedules post-discharge appointments
  • Develops patient-friendly discharge instructions
  • Performs handoffs (hospital to aftercare), medication reconciliation and education reinforcement
  • Supports the planning, implementation and evaluation of service delivery, patient experience, and care management activities
  • Coordinates with hospital staff to ensure accurate discharge summaries
  • Coordinates family/caregiver support, appropriate services and transitional support
  • Prioritizes duties and responsibilities, demonstrating strong organization and time management skills
Requirements
  • Graduation from an accredited school of nursing
  • Minimum 2 years experience in a primary care setting or ambulatory clinic with focus in patient navigation and transitions of care
  • Holds and maintains an unrestricted license to practice as a Registered Nurse in the State of Texas
  • Basic Life Support (BLS) certification obtained through approved American Heart Association or Red Cross

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