Care Coordinator SW-Kennestone-Care Coordination-Days

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Company: WellStar Kennestone Hospital

Location: Marietta, GA 30062

Description:

Details

Client Name
Wellstar Kennestone Hospital
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Care Coordinator
Job ID
31366647
Job Title
Care Coordinator SW-Kennestone-Care Coordination-Days
Weekly Pay
$2740.0

Shift Details

Shift
Day - 8x5 - 09AM
Scheduled Hours
40

Job Order Details

Start Date
03/27/2025
End Date
06/26/2025
Duration
13 Week(s)

Job Description
Job Title: Care Coordinator RN

Profession: Registered Nurse

Specialty: Inpatient Care Coordination

Duration: 13 Weeks

Shift: Day

Hours per Shift: 8:30 AM - 5:00 PM

Experience: Minimum 1 year nursing experience in the acute care setting required

License: RN License required

Certifications: Basic Life Support (BLS) required

Must-Have: Excellent written and verbal communication skills, strong assessment, interview, organizational and problem-solving skills, knowledge of state and federal regulations, ability to collaborate effectively

Description:
The Care Coordinator RN is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patients and families to ensure care needs are met.
The RN plans effectively to meet the patient's needs, manage the length of stay, and promote efficient utilization of resources.
The role integrates and coordinates care facilitation, care progression, and transitional care planning functions.
Specific functions include psychosocial and functional status assessment, transitional care planning, clinical care progression, facilitating patient/family care conferences, participating in interdisciplinary rounds, and patient/family education.
Collaborates with the utilization review nurse, physicians, and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, social determinants of health, goals/outcome attainment, and continued care needs.
Ensures the patient is progressing towards their discharge goal and assists in alleviating barriers.
Seeks consultation from appropriate disciplines/departments as required to identify and resolve delays in care and facilitate discharge.
Based on preliminary screening, initiates assessment of patients' chronic disease management needs and psychosocial risk factors and the availability of resources upon discharge.
Partners with financial counselor or UM nurse to assess insurance and coverage requirements to ensure adherence to those requirements.
Collaborates with the patient, family, physicians, and other members of the care team to establish and support both the patient's care progression and discharge plans.
Meets with physicians and care team routinely to collaborate on timely and efficient patient management.
Manages all aspects of discharge planning for assigned patients.
Implements discharge planning timely and provides resources efficiently.
Meets with patient/family to assess needs and develop an individualized discharge plan in collaboration with physicians.
Identifies and documents barriers for timely discharge.
Ensures/maintains discharge plan consensus with patient/family, physicians, care teams, and payers.
Responds to referrals for patients' post-acute needs from physicians and the care team.
Participates in interdisciplinary rounds with the care team to confirm estimated date of discharge and make recommendations for the best level of care transition at discharge.
Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
Refers appropriate cases for social work intervention based on departmental protocol.
Accounts for cultural or religious beliefs in providing service and continuity of care.
Collaborates with physicians and care team to facilitate communication regarding patients' care progression for timely and efficient care delivery.
Identifies and resolves barriers to discharge and escalates unresolved issues to the appropriate leader.
Completes initial clinical/psychosocial assessment and documentation in the medical record.
Ensures records are up-to-date and documentation is clear and concise.
Ensures timely and accurate documentation of interactions with patient/family, physicians, care team, and community partners regarding the patient's discharge plan.
Tracks avoidable days and reports trends leading to undesired outcomes.
Completes all required professional competency assessments, mandatory education, and population-specific education.
Supports department-based goals contributing to organizational success.
Serves as a preceptor and/or mentor for student interns if appropriate.
Performs other duties as assigned.
Complies with all organizational policies, standards of work, and code of conduct.

Client Details

Address
677 Church Street NE
City
Marietta
State
GA
Zip Code
30060

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