RN Care Coordinator

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. 

Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.

Responsible for delivery of appropriate patient notifications and related documentation

Responsible for patient education and advocacy.

Participates in performance improvement teams and programs as necessary.

Demonstrates behavior that aligns with the Mission and Core Values of the Organization. 

Responsible for completing required education within established timeframes.

Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice.

Performs other duties as assigned, including utilization review as necessary.

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.

RN license

CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind, and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world, we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.