The Care Coordination Department at Arizona General Hospital plays a critical role in providing exceptional patient care to its birth to adult in-patient population. By coordinating the delivery of healthcare and social services while balancing individually identified patient and family medical and psychosocial needs with cost-effective and available resources members of the Care Coordination Team are dedicated to furthering the mission of the Hospital. 

Job Summary / Purpose

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. 

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 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.

Minimum:

Education and Experience:

• Graduate of an accredited school of nursing.
• Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.

Preferred:

• Bachelor's Degree in Nursing (BSN) or related healthcare field. 
• American Heart Association BLS required within 3 months of hiring.
• At least five (5) years of nursing experience.

Licensure:

Active Arizona or Compact state RN License 

Preferred:

• Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification 

Training:

• Knowledge of managed care and payer environment preferred.
• 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.