Continuing Care Coordinator RN

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

With guidance from the local market leadership, the RN Care Coordinator works collaboratively with physicians, staff
and other health care professionals within his/her clinically setting to maintain and improve quality and
sustainability within the local market network, this work includes:

● Chronic Disease Management—Develops a plan of care based on a nursing assessment of the patient and their
individual circumstances. The plan of care will include patient and caregiver education as well as coordination
and collaboration of care with an interdisciplinary team working with that patient. The RN will also be
responsible for monitoring the patient’s progress with the care plan.
● Practice Pattern Management—Referral Management, based upon local program criteria
● Performance Data Interpretation—Participates in development of workflows and audits
● Evidence-Based Metric (EBM) guidelines / care plans—Implements and hardwires different EBM guidelines in
the ambulatory setting as well as facilitating seamless transitions of care between clinic and post-acute settings
and between clinic and other health professionals.

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

•  AA degree in Nursing required
• BSN Preferred
• 2 years of relevant experience or an advanced degree required (Master's)
• 3 to 5 years preferred
• State License as an RN

I. Physical Demand Level: Light