Care Coordination Nurse

Dignity Health • Gilbert, AZ • 12h ago

Job Summary and Responsibilities

As our Care Coordination Nurse at Mercy Gilbert Medical Center, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.

Every day you will meticulously conduct and update discharge planning assessments, facilitating multidisciplinary collaboration for timely and smooth transitions to post-acute care settings. You'll oversee implementation of discharge plans, optimize inpatient resource utilization, identify and mitigate readmission risks, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.

To be successful in this role, you will demonstrate exceptional critical thinking, problem-solving, and professional communication skills. Your ability to thrive in a fast-paced, self-directed environment, prioritize effectively, and collaborate seamlessly within the Care Coordination Team is crucial. You must be dedicated to furthering the hospital's mission by enhancing the patient experience and ensuring optimal outcomes.

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.

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.

Oversees and evaluates the implementation of the discharge plan.

Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.

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.

Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity!

Job Requirements

Required

Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of one (1) year experience

Graduate of an accredited school of nursing

Registered Nurse: AZ or Compact license

American Heart Association Basic Life Support, within 90 days

Knowledge of managed care and payer environment

Must have critical thinking and problem-solving skills

Collaborate effectively with multiple stakeholders

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

Knowledge of CMS standards and requirements

Preferred

Discharge Planning

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

At least five (5) years of nursing experience

Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN)

Where You'll Work

Where Compassion Meets Innovation: Join Our Growing Family at the New Mercy Gilbert Women's and Children's Pavilion

At Mercy Gilbert Medical Center, we believe that Hello Humankindness is more than a slogan-it is our calling. We are expanding our legacy of excellence with the launch of our state-of-the-art Women's and Children's Pavilion: a destination designed to provide seamless, life-changing care from the earliest stages of pregnancy through the milestones of childhood.

We are looking for passionate, forward-thinking professionals who are as committed to social justice and health equity as they are to clinical excellence. We know that the best healthcare is equitable healthcare, and we are searching for team members who advocate for the dignity of every patient, regardless of their background or circumstance.

You belong here if you:

Thrive on Innovation: You are ready to embrace new technologies and creative solutions that evolve alongside the modern healthcare landscape.

Value True Collaboration: You want to work alongside a diverse, multidisciplinary team that views teamwork as the foundation of patient success.

Seek Meaningful Impact: You aren't just looking for a job; you are looking for a place where your skills directly improve community outcomes and address health disparities.

Are Driven by Purpose: You believe that quality care is a human right, and you are ready to dedicate your talents to making that a reality for the families of Gilbert and beyond.

When you join our Pavilion, you are joining a culture that celebrates the individual. We provide the tools, the technology, and the environment you need to deliver the care your patients deserve. Here, your compassion is empowered, your expertise is respected, and your growth is a priority.

Every day, you will have the opportunity to make a tangible difference-ensuring that every mother, every child, and every family feels heard, supported, and cared for.

Your purpose starts here. Join us in shaping the future of pediatric and maternal medicine.

Pay Range

$39.18 - $58.28 /hour

We are an equal opportunity/affirmative action employer.

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