**Overview** **About Us** Dominican Hospital (a member of Dignity Health) is a 222-bed facility that offers a wide range of services to residents of California’s Central Coast. With 24/7 emergency care comprehensive care in cardiac orthopedics oncology women’s and children’s services we continue to lead the region in medical innovation and excellence in healthcare. **Comprehensive Care** Dominican offers emergency services and is a Certified Stroke Center and Chest Pain Center. Dominican’s services include the only comprehensive Cancer Center in Santa Cruz County a Total Joint Replacement program and advanced neurological and endoscopic services. Dominican regularly receives ‘A’ grades for hospital safety from Leapfrog Group and has received national recognition for superior patient safety cardiac care and stroke treatment from Healthgrades a leading provider of comprehensive information about physicians and hospitals. As Santa Cruz County’s heart attack (STEMI) receiving center Dominican Hospital provides cutting edge cardiac care. The hospital’s heart attack treatment times consistently beat the national average and the hospital offers two cardiac catheterization labs available 24 hours a day 7 days a week. Groundbreaking cardiac procedures at Dominican include the Transcatheter Aortic Valve Replacement (TAVR) procedure which allows for heart valve replacement without opening a patient’s chest. Dominican Hospital has forged significant partnerships with area hospitals to bring exceptional care to Santa Cruz County. The hospital offers a level III Neonatal Intensive Care Unit (NICU) through a partnership with Lucile Packard Children’s Hospital Stanford. Neurosurgery at Dominican is also offered through a partnership with Stanford Health Care. **In The Community** Beyond care inside the hospital Dominican is dedicated to the health and wellness of the Santa Cruz community. Community programs include a Mobile Wellness Clinic a tattoo removal program and support groups for patients and new mothers. In addition and in accordance with our mission Dominican Hospital supports programs for the underserved in our community including children and adults students seniors and the homeless population. Dominican also has received several awards for environmental excellence. \#RN@DH **Responsibilities** **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. **Essential Key Job Responsibilities** 1. 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. 2. 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. 3. Oversees and evaluates the implementation of the discharge plan. 4. Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. 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. 6. Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period. 7. Responsible for delivery of appropriate patient notifications and related documentation 8. Responsible for patient education and advocacy. 9. Participates in performance improvement teams and programs as necessary. 10. Demonstrates behavior that aligns with the Mission and Core Values of the Organization. 11. Responsible for completing required education within established timeframes. 12. Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. _The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned._ **Qualifications** **Minimum Qualifications** **Required Education and Experience** Required + 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 Education and Experience** Preferred + Bachelor's Degree in Nursing (BSN) or related healthcare field. + At least five (5) years of nursing experience. **Required Licensure and Certifications** + RN license in the state(s) covered is required. + California - RN:CA + BLS required within 3 months of hiring **Preferred Licensure and Certifications** Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred **Required Minimum Knowledge, Skills, Abilities and Training** + Able to apply clinical guidelines to ensure progression of care. + Knowledge of managed care and payer environment preferred. + Must have critical thinking and problem-solving skills. + Collaborate effectively with multiple stakeholders + Professional communication skills. + 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. + Thrive in a fast paced, self-directed environment. + Knowledge of CMS standards and requirements. + Proficient in prioritizing work and delegating where indicated. + Highly organized with excellent time management skills. **Pay Range** $96.00 - $103.68 /hour We are an equal opportunity/affirmative action employer.