Clinical Care Partner - RN required

**Company:** **Position Summary**: The Clinical Care Partner is responsible for coordinating safe, efficient, and patient\-centered transitions of care for hospitalized patients. This role evaluates patients for appropriate post\-acute home\-based care services and supports timely, high\-quality discharge planning in collaboration with physicians, case management, patients, families, and post\-acute providers. The position focuses on improving patient outcomes, reducing length of stay and readmissions, and ensuring patients receive the right care in the right setting at the right time. This is an in\-person role requiring bedside engagement, interdisciplinary collaboration, and active participation in discharge planning workflows. **Position Specific Responsibilities**: **Referral Evaluation \& Clinical Assessment** * Evaluate patients for appropriateness for home\-based and post\-acute care services based on clinical, functional, psychosocial, and environmental factors * Review inpatient referrals and prioritize patients using clinical judgment and predictive analytics tools * Collaborate with physicians and care teams to support appropriate level\-of\-care decisions * Identify patients appropriate for value\-based post\-acute care services **Discharge Coordination \& Care Transitions** * Coordinate and facilitate timely, safe, and appropriate hospital discharge planning * Develop and implement individualized transition\-of\-care plans aligned with patient needs and clinical goals * Partner with physicians, advanced practice providers, case management, and nursing teams * Arrange post\-acute services including home health, hospice, durable medical equipment, medications, and follow\-up care * Ensure accurate and timely patient handoff to post\-acute providers **Stakeholder Education** * Educate patients and families on post\-acute care options, care expectations, and available services * Provide bedside education to support informed patient choice and s