Trinity Health Inpatient Care Coordinator- per diem in Springfield, Massachusetts

Responsible for providing direction and leadership to Discharge Planners and Care Coordination Assistants for patient progression and care coordination. In collaboration with other internal and external disciplines, the Inpatient Care Coordinator directs and coordinates the care of patients from admission to transfer or discharge. This is done with the intentions of cost effective utilization of hospital resources, minimizing out of pocket expenses for patients, providing appropriate utilization of resources and patient advocacy.


  • Provides supervision and direction to the Discharge Planner(s) and Care Coordination Assistant(s) in the prioritization of patient care and patient progression.
  • Within 24 hours of admission, uses discretion and independent clinical judgment in applying evidence-based criteria as well as Medicare regulations to coordinate and direct level of care and status determination on every assigned patient.
  • Within 24 hours of admission, initiates discharge planning assessment by interviewing the patient and or family to determine the patient's discharge needs and documenting the assessment. Delegates patients and families with complex psychosocial, financial and legal needs to the discharge planner. Coordinates the plan and provides oversight to the Discharge Planner.
  • Collaborates with the Care Coordination Manager on the hiring, corrective action, evaluation processes and performance appraisals for the Discharge Planners and Care Coordination Assistants, as well as employee relations issues/concerns. Collaborates with Manager in developing goals and maintaining regulatory compliance.
  • Works with Quality to make referrals, investigate complaints, and make recommendations to the quality department that may include Corrective Action. Works with Quality to develop and implement/mandate training or other process changes as needed.
  • Has an understanding of patient’s clinical trajectory and disease process and is able to report the clinical milestones that support the patient's continued need for acute care.
  • Responds to third-party payer requests for concurrent clinical information to ensure continued stay authorizations.
  • Coordinates and facilitates the multidisciplinary team and rounds on every patient, every day, discussing the patient care goals and discharge plan on the assigned patients.
  • Communicates pertinent information to the appropriate members of the multidisciplinary care team both effectively and professionally.
  • Identifies discharge needs, problem solves and coordinates care to ensure the patient's discharge plan is consistent with their clinical course, continuing care needs, and covered services. Ensures safe and seamless patient transition across the continuum to prevent readmission.
  • Ensures timely completion of all discharge, transfer, and referral forms and educates patients on their appeal rights.
  • Advocates for patient legal, social, and ethical rights while balancing patient resources and hospital financial stewardship.
  • Understands risk contracts and is able to align BPCI/Tufts efforts with patient satisfaction outcomes.
  • Proactively identifies and works on barriers that impede the progression of care. Ensures the delivery of quality patient care, refers quality issues and poor utilization of services to the appropriate sources and documents avoidable days/delays in care.
  • In collaboration with Care Coordination Manager, responsible/accountable for professional development of Discharge Planners and Care Coordination Assistants. Maintains licensure for self and takes ownership for self-education.
  • Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities and educates hospital staff, as needed.
  • Provides professional consultation to the patients and family, staff and employees regarding patient stay options, financial considerations, psychosocial concerns, risk management, and ethical issues.
  • Maintains absolute adherence to hospital and departmental policies and practices regarding confidentiality and patients' rights and demonstrates knowledge and support of the hospital's missions and values.
  • Communicates professionally with all internal and external customers to effectively manage all cases per established organizational standards.


  • Current unrestricted Massachusetts license as a Registered Nurse, BSN strongly preferred.
  • Previous supervisory experience strongly preferred.
  • Three to five (3-5) years Case Management experience preferred, hospital or community based.
  • Ability to identify problems, determine alternative course of action, and simultaneously address and prioritize multiple patients, projects, demands and issues.
  • Willingness to be flexible, resourceful and creative in problem solving. Work is not standardized and requires a high degree of delegation and prioritization skills.
  • Ability to act independently, supervise and direct the Discharge Planner(s) and Care Coordination Assistant(s) to assure optimal patient outcomes.
  • A personal presence which is characterized by a sense of honesty, integrity, and caring with ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.
  • Exceptional interpersonal and relationship building skills to effectively collaborate with multiple stakeholders to obtain management, staff, and physician involvement and accountability in achieving specific patient outcomes.
  • Must possess excellent verbal and written communication skills, presentation skills, analytical skills, and be well organized. Able to maintain a highly professional manner and appearance. Effective negotiation, persuasive and planning skills required.
  • Demonstrated ability to operate in a collaborative, shared leadership environment.
  • Demonstrated high degree of self-motivation, assertiveness and goal-attaining capabilities.
  • Ability to be flexible and adaptable to changing processes and schedule requirements.
  • Demonstrated ability to acknowledge formal and informal assessments of health care market trends and the impact/potential impact on the organization.




  • Flexible work schedules in shift based on organization and patient demands that may inconvenience home and social life planning, such as shift rotation and assigned unit location.
  • Requires ability to work and physically walk the units to round on patients in a hospital setting.
  • Requires working in a normal office environment where there are relatively few discomforts due to dust, dirt, and noise.
  • Requires ability to lift 10-20 pounds of electronic equipment, associated mobile work devices, and reference materials.



  • Reports to the Care Coordination Manager.
  • Responsible for the supervision of Discharge Planners and Care Coordination Assistants.

*This position includes a weekend and holiday rotation, and works four ten hour shifts.


Job Number: 00113945

Location: Springfield, MA

Organization Name: Mercy Medical Center

Facility: SPMA - Mercy Medical Center

Employment Type: Part time

Shift: Day Shift

Hours: 0