Registered Nurse Care Coordinator

1 week ago


Cedar Rapids, Iowa, United States St. Luke's Hospital Transitional Care Center Full time
Position Overview

The Registered Nurse Care Coordinator plays a vital role in enhancing the quality of life for residents by fostering meaningful connections and ensuring comprehensive care. This position involves:

  • Facilitating Activities: Organizing and engaging in activities that encourage social interaction and cognitive stimulation for residents and their families.
  • Managing Documentation: Overseeing the completion of admission and discharge paperwork, ensuring all assessments are thorough and timely.
  • Building Relationships: Establishing one-on-one connections with residents and their families to provide necessary counseling and support.
  • Emotional Support: Assisting residents and families in navigating feelings related to end-of-life issues and other emotional or physical challenges.
  • Care Plan Development: Aiding in the formulation of baseline care plans as required.
  • MDS Compliance: Completing the social service section of the Minimum Data Set (MDS) within the designated timeframe following admissions.
  • Comprehensive Care Documentation: Recording the social care aspects of the Comprehensive Care Plan for each resident, as identified by the interdisciplinary team.
  • Record Keeping: Documenting all interactions with residents and families in accordance with state regulations.
  • Discharge Planning: Ensuring the completion of discharge plans aligns with facility policies.
  • Assessing Needs: Documenting the social and emotional requirements of residents.
  • Liaison Role: Acting as a bridge between residents and social, mental health, and community resources.
  • Referral Management: Facilitating referrals to appropriate agencies and maintaining accurate records of outcomes.
  • Rights Education: Informing residents and their representatives about their rights.
  • Additional Responsibilities: Other related tasks may be assigned as necessary.


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