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RN Hospital Care Coordinator United Hospital
2 months ago
As a RN Hospital Care Coordinator at United Hospital, you will play a vital role in providing clinical coordination services to patients. Your primary responsibility will be to assess, plan, and intervene to facilitate clinical transition planning for medically complex patients from the hospital when medically indicated. You will work closely with the healthcare team, community care providers, patients, and families to ensure effective clinical and timely transition of care.
Key Responsibilities:
- Supports the Progression of Care: Completes clinical assessments and participates in patient care rounds to ensure critical interventions and procedures are completed to achieve optimal patient outcomes. Ensures timely progression of care with proactive identification and elimination of potential delays/barriers in patient care. Escalates barriers to leadership for resolution.
- Coordinates Clinical Transition: Collaborates with the interdisciplinary team to plan anticipated transfer or discharge. Serves as a subject matter expert with a high knowledge base of integrated, seamless post-discharge care and services offered by the system. Assesses clinical stability for discharge and oversees clinical details of transitions. Ensures accurate and complete discharge orders.
- Prevents Readmissions: Plans and participates in transition conferences with patients and families. Utilizes tools and technology to identify and intervene with patients who are at risk for readmission. Ensures that a complete clinical handoff occurs for at-risk patients, which may include referrals.
- Promotes Appropriate Length of Stay: Utilizes tools and technology to support appropriate length of stay management. Facilitates timely referrals and transfers of information. Ensures outpatient complex clinical care services are in place at the time of discharge along with other complex clinical care needs.
- Demonstrates Clinical Resource Management: Supports level of care activities, including the use of established inpatient guidelines and internal and external utilization criteria. Collaborates with Social Workers to identify trends or concerns related to reimbursement and discharge planning. Ensures timely interventions for patients who are admitted under observation status.
- Bachelor's degree in nursing required
- 2 to 5 years of nursing experience, with having practiced the equivalent of 2 years in an acute care setting required
- Licensed Registered Nurse - WI Dept of Safety & Professional Services required or
- Licensed Registered Nurse - MN Board of Nursing required
- Case/Care Management Certification within 2 years of hire required
Light Work: Lifting weight Up to 20 lbs. occasionally, Up to 10 lbs. frequently
