Care Progression RN

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission\: To deliver the cures of tomorrow to the people who need them today.

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.