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 hospital-to-home transitions and reduce readmissions.
Role type
Senior IC care coordination nurse (acute care)
Builds
Discharge plans and care transition strategies for hospital 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/families on discharge planning; Identify gaps in care and safety concerns; Collaborate with providers and case managers; Provide education on diagnoses and medications; Complete required documentation accurately.
Seniority
Mid-level, hands-on IC
