RN, Discharge Clinical Coordinator

3 days ago

South Bend, Indiana, United States Beacon Health System Full time $90,000 - $120,000 per year
The RN, Registered Nurse Discharge Coordinator, plays a critical role in ensuring timely, safe, and well-organized patient discharges from Beacon's acute care hospitals. This position serves as a key liaison among hospitalists, specialists, nursing, case management, ancillary departments, and patients. The nurse ensures that when a patient is medically stable and ready for discharge, all clinical, logistical, and communication barriers are resolved—supporting a seamless transition to outpatient care.
Mission, Values, and Service Goals
  • Mission: We deliver outstanding care, inspire health, and connect with heart.
  • Values: Trust. Respect. Integrity. Compassion.
  • Service Goals: Personally connect. Keep everyone informed. Be on their team.
Key Responsibilities
Discharge Planning & Coordination
  • Collaborates daily with the Hospitalist Team to identify estimated discharge dates and address clinical or disposition barriers.
  • Partners with nursing, case management, and ancillary departments to ensure coordinated discharge planning.
  • Meets with patients and families to prepare for discharge—arranging follow-up appointments, securing specialist instructions, and assisting with post-acute placement paperwork.
  • Keeps patients and families informed about discharge timing, medication changes, and care instructions.
  • Connects patients with a primary care provider if they do not have one, ensuring appropriate post-discharge follow-up.
  • Refers patients with chronic conditions to Care Coordination when ongoing support is needed.
  • Reviews patient records to confirm completeness and that all medical concerns are addressed prior to discharge.
  • Communicates complex discharge needs to the patient's primary care physician when there is a high risk of readmission.
  • Performs post-discharge follow-up calls to confirm smooth transitions and address emerging needs.
  • Assists with patient education related to discharge medications and care instructions.
Quality Improvement & Collaboration
  • Collects and analyzes data related to length of stay, discharge barriers, and utilization trends, preparing reports for leadership.
  • Identifies process improvements and presents recommendations to relevant committees to enhance the quality of patient care.
  • Participates in hospitalist department meetings, providing updates on discharge outcomes and improvement efforts.
  • Contributes to organizational efforts to close gaps in care and improve patient transitions.
Professional and Organizational Responsibilities
  • Actively participates in department meetings and completes all required education, competencies, and health requirements on time.
  • Maintains RN licensure and required certifications (e.g., BCLS/CPR) in good standing.
  • Adheres to infection control, safety, and regulatory compliance standards.
  • Demonstrates flexibility in schedule and is available to work overtime or alternate shifts when needed.

  • Embodies The Beacon Way by:

  • Leveraging innovation everywhere.

  • Cultivating human talent.
  • Embracing performance improvement.
  • Building greatness through accountability.
  • Using information to improve and advance.
  • Communicating clearly and continuously.
Education & Experience
  • Graduate of an accredited nursing program with a current RN license in the State of Indiana.
  • Experience in discharge planning, case management, or leadership in an acute care or similar healthcare setting preferred.
Knowledge & Skills
  • Strong knowledge of clinical care practices and discharge processes.
  • Excellent communication, counseling, and interpersonal skills for working with patients, families, and interdisciplinary teams.
  • Demonstrated problem-solving, critical thinking, and organizational abilities.
  • Effective time management skills; able to prioritize independently and work efficiently under pressure.
  • Proficiency in relevant healthcare technology systems and documentation platforms.
Working Conditions & Physical Demands
  • Works in fast-paced clinical settings with varying daily demands.
  • May require travel between hospital sites and referral locations.
  • Must be able to perform the physical duties of the role, including standing, walking, and assisting with patient needs as required.

Location: Beacon Health System · Medical Staff Office

Schedule: Full-time, Day, 8:00 AM - 5:00 PM

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