Join to apply for the RN Care Coordinator role at Dignity Health
Job Summary and Responsibilities
The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The position emphasizes care coordination, communication, and collaboration with utilization management, nursing, physicians, ancillary departments, insurers, and post‑acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language, and socioeconomic barriers to care transitions. In addition, the RN Care Coordinator strives to enhance the patient experience.
Responsibilities
Completes and documents a discharge planning assessment on patients identified by the designated screening process or upon request. Reassesses the patient as appropriate and updates the plan accordingly.
Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative, and post‑acute care providers in accordance with the patient’s clinical or psychosocial needs, choices, and available resources.
Oversees and evaluates the implementation of the discharge plan.
Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence‑based guidelines/criteria.
Collaborates with the healthcare team and post‑acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post‑acute services based upon the patient’s clinical needs.
Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30‑day period.
Responsible for delivery of appropriate patient notifications and related documentation.
Responsible for patient education and advocacy.
Participates in performance improvement teams and programs as necessary.
Minimum Job Requirements
Minimum two (2) years of acute hospital clinical experience – OR – a Master’s degree in Case Management or Nursing field in lieu of 1 year experience.
Current CA RN licensure.
AHA BLS required within 3 months of hiring if located within hospital.
Preferred Requirements
At least five (5) years of nursing experience.
Certified Case Manager (CCM) or Accredited Case Manager (ACM‑RN) or UM Certification.
Bachelor’s Degree in Nursing (BSN) or related healthcare field.
Knowledge, Skills, and Abilities for Success in the Role
Able to apply clinical guidelines to ensure progression of care.
Understanding of how utilization management and case management programs integrate.
Knowledge of CMS standards and requirements.
Knowledge of managed care and payer environment preferred.
Collaborate/Communicate effectively with multiple stakeholders.
Critical thinking and problem‑solving skills.
Thrives in a fast‑paced, self‑directed environment.
Highly organized with excellent time‑management skills.
Proficient in prioritizing work and delegating where indicated.
Ability to work as a team player and assist other members of the team where needed.
Where You'll Work
Dignity Health Mercy San Juan Medical Center is a 384‑bed not‑for‑profit Level 2 Trauma Center located in Carmichael, California. It serves North Sacramento County and South Placer County and is one of the area’s largest and most comprehensive medical centers. The facility is the home of a Comprehensive Stroke Center, a Spine Center of Excellence, and recipients of multiple Certificate of Excellence awards. One Community. One Mission. One California.