Care Coordinator RN

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

JOB SUMMARY / PURPOSE
The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified
patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while
promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal
and State regulations. The position’s emphasis will be on 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.

ESSENTIAL KEY JOB RESPONSIBILITIES
1. Completes and documents a discharge planning assessment on those patients identified by the designated
screening process, or upon request. Reassess the patient as appropriate and update the plan accordingly.
2. 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 patients clinical
or psychosocial needs, choices and available resources.
3. Oversees and evaluates the implementation of the discharge plan.
4. Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of
inpatient resources using established evidence based guidelines/criteria.
5. 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 patients clinical needs.
6. Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
7. Responsible for delivery of appropriate patient notifications and related documentation
8. Responsible for patient education and advocacy.
9. Participates in performance improvement teams and programs as necessary.
10. Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
11. Responsible for completing required education within established timeframes.
12. Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice.

Required Education and Experience
Required

• Graduate of an accredited school of nursing.
• Minimum two (2) years of acute hospital clinical

experience or a Masters degree in Case Management or
Nursing field in lieu of 1 year experience.
Preferred Education and Experience
Preferred

• Bachelor's Degree in Nursing (BSN) or related healthcare

field.

• At least five (5) years of nursing experience.

Required Licensure and Certifications

• RN license in the state(s) covered is required.
• Arizona RN:AZ or Compact
• Arkansas RN:AR or Compact
• California RN:CA
• Colorado RN:CO or Compact
• Georgia RN:GA or Compact
• Iowa RN: IA or Compact
• Kansas RN:KS or Compact
• Kentucky RN:KY or Compact
• Minnesota RN:MN
• Nebraska RN:NE or Compact
• Nevada RN:NV
• North Dakota RN:ND or Compact
• Ohio RN:OH or Compact
• Oregon RN:OR
• Tennessee RN:TN or Compact
• Texas RN:TX or Compact
• Utah RN:UT or Compact
• Washington RN:WA or Partial
• BLS required within 3 months of hiring

Preferred Licensure and Certifications
Preferred

• Certified Case Manager (CCM), Accredited Case Manager

(ACM-RN), or UM Certification preferred
Required Minimum Knowledge, Skills, Abilities
and Training

• Able to apply clinical guidelines to ensure progression of

care.

• Knowledge of managed care and payer environment

preferred.

• Must have critical thinking and problem-solving skills.
• Collaborate effectively with multiple stakeholders
• Professional communication skills.
• Understand how utilization management and case

management programs integrate.

• Ability to work as a team player and assist other members

of the team where needed.

• Thrive in a fast paced, self-directed environment.
• Knowledge of CMS standards and requirements.
• Proficient in prioritizing work and delegating where

indicated.

• Highly organized with excellent time management skills