Care Coordinator (RN) - Neurology
About The Position
The RN Care Coordinator is part of a multidisciplinary team that includes physicians, social workers, discharge planning assistants, and payers. The position supports quality-driven, efficient, cost-effective, and safe patient progression through acute care and after discharge, with a focus on patient outcomes. The Care Coordinator works with attending and consulting physicians and other members of the multidisciplinary team to coordinate care and transitions across the continuum. The role assesses medical necessity and the appropriateness of the level and setting of care, supports denial and appeals processes, and helps ensure efficient use of resources and appropriate payer reimbursement. The Care Coordinator also collaborates with social workers on psychosocial needs and complex discharge plans, liaises with community agencies and facilities, and serves as an advanced clinical resource. The position is responsible for maintaining hospital compliance with QIO series and CMS guidelines, participating in relevant patient safety initiatives, identifying and reporting potential risk-management issues, and maintaining professional relationships with providers, patients and families, and internal customers. All responsibilities are carried out in accordance with VCUHS’ Mission and Values.
Requirements
- Current or eligible Registered Nurse licensure in the State of Virginia; current Virginia RN licensure is required for continued employment.
- Complete 15 Continuing Education Units per year for continued employment.
- Minimum of three years of nursing experience in an acute care setting.
- Baccalaureate degree in nursing from an accredited School of Nursing, or a bachelor’s degree in a biological, health, or social sciences field from an accredited school.
- Able to lift 20–50 lbs.
- Ability to handle prolonged sitting and walking distances.
- Strong recall, reasoning, and problem-solving skills; hearing, clear speech, legible writing, reading, and logical thinking.
- Ability to maintain a steady pace, handle multiple priorities and frequent, intense customer interactions, and adapt to frequent change.
Nice To Haves
- Academic healthcare experience.
- One year of UM/Care Coordination experience.
- Clinical experience with a specialty patient population.
- Master’s degree in nursing or a healthcare-related field from an accredited program.
Responsibilities
- Work with attending and consulting physicians to facilitate effective and efficient transitions through hospitalization.
- Collaborate with the multidisciplinary team to coordinate patient care across the continuum, meet patient needs, support appropriate payer reimbursement, and use resources efficiently.
- Consult with social workers to address psychosocial care issues and develop complex patient transition and discharge plans; interact with patients, families, healthcare professionals, and community and state agencies as needed.
- Serve as an advanced clinical resource to the team.
- Liaise between the hospital and community agencies or facilities to exchange clinical and referral information.
- Maintain hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines.
- Use medical necessity criteria to assess the appropriateness of level and setting of care.
- Assist with the denial and appeals process.
- Assess quality and identify and report potential risk-management issues.
- Participate in and complete patient safety initiatives appropriate to the position.
- Conduct job responsibilities according to VCUHS’ Mission and Values.
- Establish and maintain professional rapport with providers, patients and families, and internal customers.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
