**Overview** Welcome to Saint Joseph East, a 217-bed, full-service, community hospital located in a convenient setting in Lexington, Kentucky. Saint Joseph East also includes the Women's Hospital at Saint Joseph East (https://www.chisaintjosephhealth.org/womens-hospital-saint-joseph-east) which is dedicated to supporting the well-being of women in Central and Eastern Kentucky and serves a 16-bed Level III Neonatal Intensive Care Unit (NICU). Whether you are an experienced healthcare professional or working toward that, we invite you to experience Hello Humankindness (https://www.chisaintjosephhealth.org/library/landing/humankindness) with us! CHI Saint Joseph Health provides you with the same level of care you provide for others. We care about our team members well-being and offer benefits that complement work/life balance such as: + Paid Time Off (PTO) + 401(k) and 457(b) Retirement Programs with matching + Medical/Dental/Vision Insurance + Mental Health resources for you and your family + Wellness Program with rewards up to $450 + Tuition Reimbursement for future career growth and development + Adoption Assistance + Voluntary Protection: Accident, Critical Illness, Identify Theft and Pet Insurance + Short and Long Term Disability + Free Premium Membership to Care.com with preloaded credits to support adult and child care needs + Employer Discounts + Relocation Assistance* *for eligible hires Learn more about Saint Joseph East and its awards and recognitions here: Saint Joseph East (https://www.chisaintjosephhealth.org/saint-joseph-east) **Responsibilities** **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations. The position’s emphasis will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care. The RN Care Coordinator advocates for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions. In addition, the RN Care Coordinator strives to enhance the patient experience. **Essential Key Job Responsibilities** 1. 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. 2. 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. 3. Oversees and evaluates the implementation of the discharge plan. 4. Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria. 5. 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. 6. Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period. 7. Responsible for delivery of appropriate patient notifications and related documentation 8. Responsible for patient education and advocacy. 9. Participates in performance improvement teams and programs as necessary. 10. Demonstrates behavior that aligns with the Mission and Core Values of the Organization. 11. Responsible for completing required education within established timeframes. 12. Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their practice. 13. Performs other duties as assigned, including utilization review as necessary. _The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned._ **Qualifications** **Minimum Qualifications** **Required Education and Experience** Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. **Required Licensure and Certifications** RN:KY BLS-CPR **Required Minimum Knowledge, Skills, Abilities, and Training** + Able to apply clinical guidelines to ensure progression of care. + Knowledge of managed care and payer environment preferred. + Must have critical thinking and problem-solving skills. + Collaborate effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability to work as a team player and assist other members of the team where needed. + Thrive in a fast paced, self-directed environment. + Knowledge of CMS standards and requirement. + Proficient in prioritizing work and delegating where indicated. + Highly organized with excellent time management skills. **Pay Range** $30.47 - $44.19 /hour We are an equal opportunity/affirmative action employer.