Nurse Care Coordination

Nurse Care CoordinationInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our PRN Care Coordination Nurse, you will lead comprehensive care progression and discharge planning for our diverse inpatient population (birth to adult). Leveraging your nursing expertise, you'll orchestrate the delivery of healthcare and social services, balancing patient/family needs with cost-effective resources. This role is instrumental in advocating for patients, addressing complex factors like spiritual needs and socioeconomic barriers, and ensuring seamless, equitable transitions of care.Every day you will meticulously conduct and update discharge planning assessments, facilitating multidisciplinary collaboration for timely and smooth transitions to post-acute care settings. You'll oversee implementation of discharge plans, optimize inpatient resource utilization, identify and mitigate readmission risks, and provide essential patient education and advocacy, all while adhering to hospital policies and promoting cost-effective, quality outcomes.To be successful in this role, you will demonstrate exceptional critical thinking, problem-solving, and professional communication skills. Your ability to thrive in a fast-paced, self-directed environment, prioritize effectively, and collaborate seamlessly within the Care Coordination Team is crucial. You must be dedicated to furthering the hospital's mission by enhancing the patient experience and ensuring optimal outcomes.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.RequiredMinimum Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experienceGraduate of an accredited school of nursingRegistered Nurse: AZ or Compact licenseAmerican Heart Association Basic Life Support (BLS) required within 90 daysKnowledge of managed care and payer environmentMust have critical thinking and problem-solving skillsCollaborate effectively with multiple stakeholdersUnderstand how utilization management and case management programs integrateAbility to work as a team player and assist other members of the team where neededKnowledge of CMS standards and requirementsPreferred Bachelor's Degree in Nursing (BSN) or related healthcare fieldAt least five (5) years of nursing experienceCertified Case Manager (CCM) or Accredited Case Manager (ACM-RN)Are you ready to join a healthcare family where your values align with ours? At Dignity Health – Yavapai Regional Medical Center (DH-YRMC), now a proud part of CommonSpirit Health, a not-for-profit integrated healthcare provider, our core mission guides every decision and every interaction.Here, you'll discover more than just a job; you'll find rewarding career opportunities across a comprehensive network of inpatient and outpatient services. From a vibrant community hospital, YRMC has grown into a leading regional healthcare system.Today, that means you could be making an impact at:Two state-of-the-art acute care hospitalsA robust network of primary and specialty care clinicsModern outpatient health and wellness servicesAcclaimed cardiac diagnostic centersAdvanced outpatient medical imaging facilitiesElevate your career without sacrificing your quality of life. As you grow with YRMC, you'll find the Prescott area isn't just a place to work – it's an inspiring community designed for living, thriving, and embracing the outdoors. Imagine a charming blend of bygone appeal and modern amenities, coupled with four distinct seasons and nearly year-round sunshine perfect for every adventure.Say hello to a relaxed lifestyle that empowers you to prioritize both your professional growth and family time. YRMC extends this inviting spirit within our walls, fostering a strong sense of family, and belonging among our team members.Come experience the exceptional quality of life that YRMC and Prescott offer. Work at the heart of #hellohumankindness and discover where your career and well-being truly connect.Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.