Position Summary The Care Progression RN is responsible for advancing care progression, discharge readiness, and interdisciplinary coordination throughout the patient's hospitalization. The RN ensures each patient has a clearly defined Expected Discharge Date (EDD), barriers are proactively identified and addressed, and teams remain aligned on daily care progression goals. This position is for full-time, 10 hour shifts (4 shifts per week), and day shifts. The scheduled shifts will primarily be on the weekdays (Monday-Friday), but may require weekends or extended shifts based on patient needs.
As a successful candidate, you will: Interdisciplinary Rounds & Care Coordination - Lead daily interdisciplinary rounds to ensure alignment on discharge readiness, care progression priorities, and clinical goals.
- Ensure each patient has a documented Expected Discharge Date (EDD) updated daily.
- Monitor and communicate barriers affecting timely care progression.
- Coordinate real-time escalation for clinical or operational delays.
Clinical Review & Barrier Identification - Conduct clinical assessments to determine readiness for discharge or next level of care.
- Identify and mitigate barriers such as pending diagnostics, specialty consults, therapy needs, medication reconciliation, and home readiness.
- Partner with Case Management and Social Work on post-acute planning and next level of care.
RN Coaching & Education - Educate bedside RNs on discharge planning best practices and early identification of barriers.
- Reinforce Expected Discharge Date (EDD) focused shift practices.
- Mentor nursing staff regarding complex oncology discharge needs and transitions of care.
Patient & Family Engagement - Ensure patients and families understand the plan of care, treatment milestones, and anticipated discharge timeline.
- Support patient education related to home care readiness, symptom management, and follow-up needs (using HCAHPS 6 critical points of DC information as guide).
Collaboration With Throughput & Operations - Partner with House Supervisors and hospital leadership to align projected discharges with capacity needs.
- Participate in daily capacity huddles and provide discharge readiness updates.
Data, Documentation & Reporting - Ensure accurate, timely documentation of EDDs, barriers, and care progression steps in the EMR.
- Track care progression milestones and provide reports to nursing and operational leadership.
Working Conditions - Fast-paced oncology hospital setting with frequent unit-to-unit mobility.
- Regular participation in interdisciplinary rounds, huddles, and meetings.
- May require rotation of weekends or extended shifts based on patient needs.
- Position is for full-time, 10 hour shifts (4 shifts per week), and day shifts
Your qualifications should include: - Bachelor's Degree or Master's degree in Nursing is required
- Current California RN license
- Minimum of three (3) years related experience as a RN
- Basic Life Support (BLS) CPR Card through American Heart Association
- Acute Care clinical experience in oncology (preferred)
- Strong knowledge of discharge planning and care coordination processes (preferred)
- Familiarity with cancer treatment modalities - chemotherapy, radiation, immunotherapy (preferred)
- Experience participating in interdisciplinary rounds, care coordination, or discharge planning activities (preferred)
- Experience with Epic EMR and care progression or length-of-stay improvement initiatives (preferred)
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
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