Onsite Care Coordination Nurse
Core
Conduct face-to-face assessments and lead care coordination for newly admitted members in acute care settings to ensure safe transitions from hospital to home.
Role type
Onsite Care Coordination Nurse (Hybrid)
Builds
Discharge plans and follow-up care strategies for acute care members
Domain
Healthcare / Acute Care / Care Management
Required skills
Acute care nursing, discharge planning, care coordination, gap identification, provider collaboration, documentation, infection control
Preferred skills
BSN, care management, health promotion, utilization management, health plan experience, bilingual (English/Spanish), care management certification
Technologies
Microsoft Office, Electronic Medical Records (EMR)
Responsibilities
Conduct comprehensive face-to-face assessments of newly admitted members; Support and educate members and families on discharge planning; Identify gaps in care and safety concerns; Collaborate with attending providers and facility case managers; Provide education on diagnoses and medications; Complete required documentation accurately.
Seniority
Mid-level, hands-on IC