Care Coordination RN

Where You'll Work

Built-in 1973, Dignity Health Methodist Hospital of Sacramento is committed to providing daily excellence in health care for residents of Sacramento's southern suburbs, including the Elk Grove, Wilton, and Galt communities. Methodist Hospital is home to a 158 acute-care bed facility with 1,120 employees, 283 medical staff, and 29 Emergency Department beds. Methodist Hospital also owns and operates Bruceville Terrace - a 171-bed, sub-acute skilled nursing long-term care facility adjacent to the hospital that provides care for the elderly, as well as those requiring extended recoveries. Methodist Hospital is home to the Family Medicine Residency Program, an accredited and nationally recognized program which provides resident physicians with specialty training in primary care family medicine. Together, the hospital and residency program implemented a ground-breaking curriculum addressing the identification, treatment, and assistance of human trafficking victims and created a one-of-a-kind health clinic for victims, the Human Trafficking Medical Home.

One Community. One Mission. One California

Job Summary and Responsibilities

Job Summary :

The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost-effective outcomes, and by following hospital policies, standards of practice, and Federal and State regulations. The position's emphasis will be on care coordination, communication, and collaboration with utilization management, nursing, physicians, ancillary departments, insurers, and post-acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language, and socioeconomic barriers to care transitions. In addition, the RN Care Coordinator strives to enhance the patient experience.

Essential Key Job Responsibilities :

• 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 patient's 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.

Job Requirements

Minimum :

Preferred :