Care Coordinator RN

Dignity Health Woodland Memorial Hospital is Yolo County’s largest health care provider, serving the community since 1905. Woodland Memorial Hospital is a 108-bed acute care facility offering the most comprehensive range of health care services in Yolo County, including inpatient and outpatient surgical services, family birth center/labor and delivery, emergency services, home health services, palliative care, inpatient mental health services, sleep disorders center and cancer care services. With strong ties to our community, we believe in providing compassionate, high-quality health care to you and your family, close to home. Woodland Memorial Hospital is part of Dignity Health, one of the nation’s largest health care systems with a 22-state network. For more information, please visit our website here at www.dignityhealth.org/woodland.

One Community. One Mission. One California 

As our Care Coordinator RN, you will help patients and their families navigate the complexities of healthcare and discharge planning, so they can achieve optimal health outcomes and a smooth transition to post-acute care.


Every day you will oversee the progression of care and discharge planning for identified patients. You will be expected to complete and document discharge planning assessments, collaborate with multidisciplinary teams, advocate for patients, and implement interventions to mitigate readmission risks.


To be successful in this role, you will possess demonstrate strong critical thinking, problem-solving, and professional communication skills, and thrive in a fast-paced, self-directed environment.

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

Required

• Graduate of an accredited school of nursing
• Minimum two (2) years of acute hospital clinical experience or Masters Other in Case Management or Nursing field in lieu of 1 year experience
• Registered Nurse: CA (CA RN)
• Basic Life Support - CPR, through the American Heart Association (BLS) within 90 Days

Preferred

• Bachelors Other Bachelor's Degree in Nursing (BSN) or related healthcare field
• At least five (5) years of nursing experience
• Certified Case Manager
• Accredited Case Manager