RN Care Coordinator

Job Summary and Responsibilities

As a RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.

Every day, you will strategically assess, plan, and facilitate comprehensive care across the continuum, expertly advocating for patients while collaborating with physicians, nursing, departments, insurers, and post-acute providers to ensure timely, high-quality transitions. You will be expcted to expertly advocate for your patients by identifying and removing barriers to care, while collaborating daily with multidisciplinary teams, physicians, insurers, and post-acute providers to optimize clinical outcomes and reduce unnecessary hospital readmissions.

To be successful in this role, you will possess strong clinical acumen, exceptional communication and advocacy skills, and a strategic mindset, all driven by a passion for optimizing patient care across every touchpoint.

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

Job Requirements

Required

• Associate Of Nursing Graduate of accredited Registered Nurse (RN) program.
• Two (2) years of RN Experience in an acute hospital or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
• Active RN license from the State of California.
• BLS American Heart Association
• Understanding of how utilization management and case management programs integrate.
• Ability to work as a team player and assist other members of the team where needed.
• Ability to thrive in a fast paced, self-directed environment.
• Knowledge of CMS standards and requirements.
• Able to apply clinical guidelines to ensure progression of care.

Where You'll Work

Founded in 1910, Dignity Health - Community Hospital of San Bernardino is a 343-bed, acute care, nonprofit hospital. Serving over 75,000 patients annually, the hospital offers a full complement of services including a Level II NICU, maternity care and pediatrics, and behavioral health and long-term subacute care for adults and children.

Additionally, Community Hospital of San Bernardino has been recognized with the gold seal of approval by the Joint Commission, as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation, and rated five stars for Children’s Subacute Center by the Centers for Medicare and Medicaid Services. In 2025, we were voted Best Hospital by Inland Empire Magazine.

Community Hospital of San Bernardino shares a legacy of humankindness with Dignity Health and CommonSpirit Health, one of the nation’s largest health care systems, dedicated to providing compassionate, high-quality, and affordable patient-centered care.

One Community. One Mission. One California