Registered Nurse Acute Care Care Coordination Senior
No salary listed
Mid
Bachelor's, Associate's
Austell, GA, USA
In PersonOnsite at Cobb Hospital; full-time daytime 12-hour shifts covering the Emergency Department.
Medical, Clinical & Veterinary
About the job
Requirements
- A minimum of 3 years of experience as a staff nurse in an acute care hospital setting is required.
- A minimum of 2 years of experience as a case manager in a hospital setting or payer-based model is required, with expertise in case management competencies and the ability to guide the care team through complex discussions.
- An Associate's degree in Nursing or a nursing diploma is required; a Bachelor's degree in Nursing is preferred.
- A current BLS, American Red Cross BLS, or BLS Instructor certification is required upon hire.
- A current single-state RN license or multistate compact RN license is required.
- Strong written and verbal communication skills are required.
- The candidate must demonstrate maturity, self-confidence, objectivity, and a positive attitude.
- The candidate must be self-directed and able to function under stress, adapt to change, and work in a fast-paced environment.
- Strong assessment, interviewing, organizational, and problem-solving skills are required.
- Knowledge of applicable local, state, and federal regulations is required.
- Knowledge of community and statewide resources and programs is required.
- The candidate must be able to collaborate with physicians, care-team members, and patients and families across the continuum of care.
Responsibilities
- Assess transitional care needs and coordinate care across the continuum, engaging patients and families to ensure needs are met in complex cases during acute admissions.
- Partner with physicians and care teams to develop optimal and efficient treatment plans, streamline care progression, and plan post-discharge care.
- Serve as an expert resource and consultant to team members on care progression and planning, length-of-stay management, and efficient resource utilization.
- Coordinate care facilitation, care progression, and transitional care planning.
- Perform transitional care planning, clinical care progression, psychosocial and functional status assessments, attend patient and family care conferences and interdisciplinary rounds, and provide patient and family education.
- Collaborate with the utilization review nurse, physicians, and interdisciplinary care team to assess medical, psychosocial, and social-determinant needs, goals and outcomes, and continuing care needs.
- Monitor progress toward discharge goals and help resolve barriers.
- Consult appropriate disciplines and departments to proactively identify and resolve delays, expedite care, and facilitate discharge.
- Participate in orientation and precepting of new hires as needed, mentoring them in clinical progression, case reviews, and transitional and discharge planning.
- Screen patients and assess psychosocial risk factors and resources available after discharge.
- Partner with the patient access services team, financial counselors, and/or utilization management nurse to assess insurance and payer coverage requirements and ensure adherence.
- Collaborate with patients, families, physicians, and care-team members to establish and support care progression and discharge plans.
- Meet routinely with physicians and the care team to coordinate timely and efficient patient management.
- Facilitate communication about care progression with physicians and the care team to support timely and efficient care delivery.
- Identify delays or obstacles in diagnostics or treatment that may delay discharge.
- Discuss with physicians whether inpatient testing may be more appropriate in the outpatient setting.
- Resolve discharge barriers and escalate them to the appropriate leader when needed.
- Manage discharge planning for assigned patients and implement plans promptly, providing resources efficiently.
- Meet with patients and families to assess needs and develop individualized discharge plans with physicians.
- Identify and document barriers to timely disposition.
- Respond to referrals for patients' post-acute needs from physicians and the care team.
- Participate in interdisciplinary rounds to confirm estimated discharge dates and recommend an appropriate level of care transition.
- Maintain discharge-plan consensus among patients and families, physicians, care teams, and payers.
- Initiate and facilitate post-acute referrals through departmental processes to support timely transitions to the next level of care.
- Refer appropriate cases for social-work intervention according to departmental protocol.
- Accommodate cultural and religious beliefs when providing service and continuity of care.
- Complete and document initial clinical and psychosocial assessments in the medical record.
- Maintain current records and clear, concise documentation.
- Document interactions with patients and families, physicians, care teams, and community partners in timely and accurate progress notes related to discharge plans.
- Record all services arranged or delivered in the electronic medical record.
- Track avoidable days and report trends that contribute to undesired outcomes.
- Assist leadership with precepting new hires when needed.
- Mentor new and less-senior employees in addressing challenging situations while assisting patients and families through the continuum of care.
- Serve as a preceptor and/or mentor for student interns.
- Complete initial and ongoing professional competency assessments and required mandatory and population-specific education.
- Support department-based goals that contribute to organizational success.
- Comply with Wellstar Health System policies, standards of work, and code of conduct.
- Perform other duties as assigned.
About the company
Wellstar Health System provides comprehensive medical care across Georgia through hospitals, clinics, outpatient centers, a pediatric center, nursing centers, hospice and home care services, supported by nearly 30,000 team members. It operates a network that combines primary care and specialty medicine, including multiple trauma centers and a large Emergency Department; patients access care through inpatient facilities, outpatient centers, and home health, supported by an integrated care model. Wellstar differentiates itself with an inclusive culture, high-quality care, and strong workplace recognition, while being one of Georgia's largest integrated health systems with multiple trauma centers and a top emergency department. Its goal is to improve health and well-being for everyone served by compassionate care, pursuing excellence, and transforming how healthcare is delivered.
Company Size
10,001+
Company Stage
N/A
Total Funding
N/A
Headquarters
Atlanta, Georgia
Founded
1997
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Simplify's Take
What believers are saying
- Stephens County Hospital deal announced September 2, 2026 expands reach to 14 hospitals.
- Columbia County Medical Center started seeing patients August 26, adding 100 beds in Grovetown.
- Curative named Wellstar cornerstone network partner August 21, broadening employer-driven patient volume.
What critics are saying
- Wellstar cut 761 corporate jobs on July 28, 2026, signaling execution strain.
- Stephens County approval can stall until late 2026, delaying synergies and distracting leadership.
- One bad patient-safety event at new hospitals would damage Georgia referrals and regulator trust.
What makes Wellstar unique
- Wellstar runs 12 hospitals after Mountain Lakes closed August 10, 2026.
- Columbia County Medical Center opened August 26, 2026 with six ORs and ICU-convertible rooms.
- Wellstar anchors Georgia access through tele-stroke, specialist networks, and Curative's 400-plus locations.
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Benefits
- Flexible Work Hours
- Professional Development Budget
- Conference Attendance Budget