Care Coordinator (RN) - Part-Time/Rotating Weekends

• Disposition Planning
• Manages all aspects of discharge planning for assigned patients.
• Implements discharge planning timely and provides resources in an efficient manner.
• Meets with patient/family to assess needs and develop an individualized discharge plan in collaboration with physicians.
• Identifies and documents barriers for timely disposition.
• 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 patients care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
• Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
• Refer appropriate cases for social work intervention based on departmental protocol.
• Allows for any cultural or religious beliefs in providing service and continuity of care.

• Care Progression
• Collaborates with physicians and care team to facilitate communication regarding patients care progression to ensure timely and efficient delivery of care.
• Proactively identifies delays/obstacles in diagnostic or treatments within the plan of care which can lead to discharge delays.
• Identities and discusses with physician the medical necessity for inpatient testing that may be more appropriate in the outpatient setting.
• Actively works to resolve barriers to discharge and engages/escalates barriers to discharge to the appropriate leader for efficient resolution

• Documentation
• Initial clinical/psychosocial assessment completed and documented in medical record.
• Ensure all records are up-to-date and documentation is clear and concise.
• Ensure timely and accurate documentation in progress notes of interactions with patient/family, physicians, care team, and community partners as it pertains to the patients discharge plan.
• Accounts for and indicates all services arranged/delivered in electronic medical record.
• Track avoidable days and report trends that lead to undesired outcomes.

• Professional Development and Initiative
• Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
• Supports department-based goals which contribute to the success of the organization.
• Serves as a preceptor and/or mentor for student interns (if appropriate)

Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education:

Associate's Degree in Nursing from an accredited school of nursing with a Georgia RN License Required Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated. Reg Nurse (Single State) or RN - Multi-state Compact Basic Life Support or BLS - Instructor Additional License(s) and Certification(s): Required Minimum Experience:

Minimum 1 year nursing experience in the acute care setting. Required Required Minimum Skills:

• Excellent written and verbal communication skill.
• Must possess maturity, self-confidence, objectivity, and positive attitude.
• Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment Strong assessment, interview, organizational and problem-solving skills.
• Knowledge regarding local, state and federal regulations required.
• Knowledge of community and state-wide resources and programs.
• Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist with progression of care through their transition to the next level of care.
• We’d like to invite you on a career journey like no other!
• In return for your contributions, we’ll help you make the most of all life’s moments – on and off the job.
• Wellstar Total Rewards is designed to provide for your total well-being, including: Your Wellness, Your Pay, Your Future, Your Joy.
• We think it’s pretty simple – we care for our team members and our team members care for the community.
• Make a difference in patients’ lives… and your own!
• Here, it’s more than healthcare – it’s CareerCare!