Job Description
Job Description
Nurse Care Coordinator
Position Overview
The Nurse Care Coordinator will be responsible for overseeing the transition during hospital discharge. The NCC will be responsible for making sure all patients receive a timely TCC follow up appointment with their Primary Care Provider as well as assist our Hospital Partner with ensuring that patients without a Primary Care provider receives follow up care as well. Assist in patient placement for SNF’s, Home Health and other services recommended by the discharging Provider. Responsible for building and maintaining a partnership with our Hospital Partners.
Primary Responsibilities :
Patient Discharge Coordination
- Collaborate extensively with hospital case managers, nurses, and social workers to :
Identify appropriate post-discharge care needs (TCM, SNF, home health, etc.)
Ensure timely and appropriate patient transitions to Primary Care and other referred services by making sure the patient has scheduled PCP visits within an appropriate timeframe post-dischargeCommunication and Documentation :
Maintain daily communication with White-Wilson Transition of Care team members to ensure the patient transition is smooth and complete prior to the visit.Ensure complete and accurate transfer of :Discharge paperwork
Comprehensive medical recordsRelevant patient care documentationVerify all necessary medical information is properly compiled and transmittedInterdisciplinary Collaboration with our Hospital Partner :
Collaboration and Communication will be key in ensuring our patients are discharged with the correct services and resources to prevent readmission. It is vital that we work with all applicable parties to ensure our Primary Care Provider has all necessary records for a smooth transition back into the practice.Qualifications and Requirements
Educational Background
Current, active Registered Nursing (RN) LicenseBachelor of Science in Nursing (BSN) preferredCase Management Certification desiredProfessional Experience
Minimum 2-3 years hospital or acute care nursing experienceProven track record in patient care coordinationStrong understanding of healthcare discharge processesEssential Skills
Exceptional communication abilitiesAdvanced organizational capabilitiesProficient in electronic medical record systemsDetail-oriented with strong analytical skillsEmpathy and patient-centered care approachTechnical Competencies
Proficiency in healthcare documentation softwareUnderstanding of medical billing and coding principlesAbility to use communication technologies effectivelyPersonal Attributes
Compassionate patient advocateExcellent problem-solving skillsAbility to work in fast-paced healthcare environmentsStrong interpersonal and teamwork capabilitiesPhysical Requirements
Ability to work in hospital and clinical settingsExtended periods of standing and walkingComputer and desk workPerformance Expectations
Minimize hospital readmission ratesEnsure timely and accurate documentationMeet established care transition efficiency metricsSeamless transition of discharge and over all care for the patient.Compensation and Benefits
Competitive salary commensurate with experienceComprehensive healthcare benefitsProfessional development opportunitiesContinuing education supportWork Environment
Primary location : Hospital settingFull-time positionPotential flexible schedulingMay require occasional evening or weekend workCompliance and Ethical Standards
Strict adherence to HIPAA regulationsMaintain patient confidentialityFollow all healthcare privacy and safety protocols