RN, Acute Care Coordinator

The Acute Care Coordinator serves as an adjunct to the multidisciplinary team, partnering with unit staff (Nursing, Providers, Consulting Services, Social Work) to facilitate a patient-focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients. Responsibilities include identifying patient discharge needs, assisting in implementing patient care strategies to close gaps in medical care upon discharge, leading daily discharge rounds, identifying resources for patient self-management planning and discharge, assisting in developing and implementing care plans for medically complex patients, and preparing patients for discharge by ordering home nursing services, IV medications, tube feedings, and DME.