
Nurse Care Coordinator
- Roseburg, OR
- Permanent
- Full-time
- Completes and documents discharge planning assessments. Reassess the patient as appropriate and updates 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 patient’s clinical needs.
- Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
- Current RN license issued by the State of Oregon required.
- BLS within 3 months of hire.
- Certified Case Manager, Accredited Case Manager or UM Certification preferred.
- Two (2) years acute hospital experience. A Master's degree in Case Management or Nursing is accepted in lieu of 1 year of experience.
- Associates degree in Nursing. BSN or bachelors in related healthcare field preferred.