RN: Clinical Care Coordinator in Long Term Care

Job Description

Job Description

RN: Clinical Care Coordinator/Resource Nurse

Keswick is located in Baltimore, MD. We are seeking dedicated, caring team members willing and able to commit to our workplace values: Connection, Empathy, Inclusion, and Advocacy!

Keswick is a not-for-profit aging services organization dedicated to improving the experience of aging, together. With over 140 years of expertise, we have become a trusted leader in providing compassionate services for older adults in our community.

The RN in this role has experience working in a senior care, long-term care, and/or short-term rehab care environment . They will support Nursing Leadership with their clinical knowledge and expertise in:

• Coordinating resident admissions and discharges.
• Conducting routine and focused chart audits to ensure accurate and timely documentation (QAPI).
• Assisting with Wound Care rounding and ensuring wound documentation and education of the nursing team on standards and procedures.
• Serving as a Clinical Resource for our nursing team, contributing to Keswick’s mission of improving the experience of aging through exceptional clinical care.

Why Choose Keswick?

Keswick employees are part of a compassionate and award-winning team, working together to deliver top care to the people of Baltimore. When you join our team, you can expect:

• Health and prescription coverage with lower-than-average deductibles and copays
• Dental and vision benefits
• Free short- and long-term disability coverage
• Employer-paid Life and AD&D Insurance for full-time employees (optional supplemental life insurance)
• 401(k) program with employer matching up to 6%
• Generous vacation, sick, and holiday pay with an option to "cash out" unused vacation hours
• MTA discounted bus passes
• Teladoc - Free 24-hour access to a physician
• Employee Assistance Program with a variety of free services
• Employee Recognition Program
• Free access to our Employee Wellness Program , such as Zumba and Pilates

What is required in this position?

• Active Registered Nurse (RN) license in the State of Maryland.
• Bachelor of Science in Nursing (BSN) preferred.
• Minimum of three years of experience in skilled nursing, rehabilitation, or long-term care.
• Strong clinical assessment, organizational, communication, and documentation skills.
• Demonstrate knowledge of CMS regulations, skilled nursing reimbursement, wound care, infection prevention principles, and quality improvement.
• Wound care certification or specialized training preferred.
• Experience with chart audits, admissions, and discharges.
• Familiarity with electronic medical records (Point Click Care).

Responsibilities:

Admissions, Transfers, and Discharges:

• Coordinate and complete resident admissions , including assessments and documentation.
• Review admission paperwork for accuracy, completeness, and regulatory compliance.
• Initiate care plans, verify physician orders, and ensure medication reconciliation.
• Manage resident discharges , including final assessments, discharge documentation, and coordination with the interdisciplinary team to facilitate accurate transition of care.

Quality Improvement & Regulatory Compliance:

• Assist with survey readiness activities and monitor compliance with federal, state, and organizational standards.
• Participate in quality assurance and performance improvement (QAPI) initiatives.
• Conduct focused audits and track performance improvement metrics.
• Assist with implementation and monitoring of evidence-based clinical protocols.
• Conduct routine and focused chart audits to ensure accurate and timely documentation.
• Identify documentation gaps and clinical concerns; communicate findings to nursing leadership.
• Contribution to Keswick’s mission of improving the experience of aging through exceptional clinical care.

Laboratory Review:

• Review laboratory results promptly.
• Identify abnormal or critical values and notify providers per facility protocol.
• Ensure appropriate follow‑up, interventions, and documentation.
• Monitor lab trends and support ongoing resident assessment.

Wound Clinical Care, resident rounding, and documentation:

• Round with the Wound Care Physician and interdisciplinary team to ensure timely wound assessments, treatment implementation, and documentation.
• Follow up on wound care recommendations and communicate changes to the interdisciplinary team.
• Identify changes in resident condition and communicate concerns to the appropriate provider and nursing leadership.
• Support nursing staff in implementing individualized resident care plans.
• Ensure accurate and complete wound documentation , including measurements, staging, and progress.
• Educate nursing staff on wound care procedures and documentation standards.

Staff Support and Clinical Resource:

• Serve as a clinical resource for nursing staff related to assessments, treatments, and documentation.
• Guide best practices and facility policies in daily clinical operations.
• Assist with clinical investigations and follow-up as assigned.
• Promote teamwork, accountability, and a culture of continuous improvement.
• Support nursing leadership with daily clinical operations as needed.
• Perform other related duties as required.

What makes Keswick unique?

Our vision is for greater fulfillment and freedom of choice in aging, for all. Committed to enhancing the quality of life for the guests and residents it serves, Keswick provides various award-winning services that enhance their lives and get them back to doing what they love.

Keswick is an Equal Opportunity Employer