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), with day shifts and rotating weekends.
As a successful candidate, you will: Multidisciplinary Rounds & Care Coordination - Lead daily multidisciplinary 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 the 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 the 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 a 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.
- Full-time, 10-hour shifts (4 shifts per week), day shift, rotating every other weekend.
Your qualifications should include: - Bachelor's Degree or Master's degree in Nursing is required
- Current California RN license
- Minimum of three (3) years of acute care RN experience in a hospital setting.
- Basic Life Support (BLS) CPR Card through American Heart Association
- Strong knowledge of discharge planning and care coordination processes. (Case Manager in Acute Care hospital)
- Experience participating in interdisciplinary rounds, care coordination, or discharge planning activities.
- Acute care clinical experience in oncology (preferred).
- Familiarity with cancer treatment modalities-chemotherapy, radiation, and immunotherapy (preferred).
- Experience with Epic EMR and care progression or length-of-stay improvement initiatives (preferred).
- Commitment to ongoing professional development and evidence-based practice.
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
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