Registered Nurse Care Coordinator – Senior Care

Bethesda Health, a faith-based, nonprofit senior care organization, is seeking an RN Care Specialist to join our Healthcare & Medical Services team. Have you got what it takes to succeed The following information should be read carefully by all candidates. In this role, you will coordinate and deliver high-quality nursing care, complete assessments, develop and update care plans, and collaborate with an interdisciplinary team to support seniors across skilled nursing, rehab, assisted living, and memory care. You'll educate residents and families, advocate for person-centered care, and ensure regulatory compliance. Join a mission-driven culture focused on dignity, compassion, quality outcomes, and opportunities for growth across multiple care communities. Perform comprehensive nursing assessments and ongoing reassessments of assigned patients Develop, implement, and update individualized care plans in collaboration with the interdisciplinary team Coordinate care and services across physicians, specialists, hospitals, and community resources Monitor patient progress, identify changes in condition, and escalate concerns appropriately Educate patients and families on diagnoses, treatment plans, medications, and self-management Facilitate safe transitions of care, including discharge planning and follow-up arrangements Advocate for patient safety and adherence to evidence-based clinical protocols Document all assessments, interventions, and outcomes accurately in the electronic health record Collaborate in quality improvement and population health initiatives to enhance patient outcomes Communicate effectively with patients, families, and healthcare team members to ensure patient-centered care Clinical assessment and triage Care coordination and case management Patient and family education Knowledge of evidence-based nursing practice Care planning and discharge planning Medication management and reconciliation Electronic health record (EHR) documentation xevrcyc Interdisciplinary team collaboration Critical thinking and clinical decision-making Time management and caseload prioritization Patient advocacy and communication skills Understanding of population health and quality metrics Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Active Registered Nurse (RN) license in practicing state Basic Life Support (BLS) certification Advanced Cardiovascular Life Support (ACLS) preferred or obtained within designated timeframe Case management or care coordination certification (e.g., CCM, ACM-RN) preferred Experience with electronic health records (EHR) systems