About The Position
The RN Care Coordinator is part of a multidisciplinary team that includes physicians, social workers, discharge planning assistants, and payers. The role supports patients through acute care and post-discharge, ensuring care is quality-driven, efficient, cost-effective, safe, patient-focused, and outcome-oriented. The position serves as an advanced clinical resource and coordinates transitions across the continuum of care.
Requirements
- Current or eligible Registered Nurse licensure in Virginia; current Virginia RN licensure is required for continued employment.
- At least three years of nursing experience in an acute care setting.
- Baccalaureate degree in Nursing from an accredited School of Nursing.
- Complete 15 continuing education units per year.
- Ability to meet the listed physical, mental, sensory, and emotional requirements, including lifting 20–50 pounds, prolonged sitting, walking, strong recall, reasoning, problem solving, clear communication, legible writing, and adapting to frequent change.
Nice To Haves
- Academic healthcare experience.
- One year of utilization management or 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 during hospitalization.
- Collaborate with multidisciplinary team members to coordinate patient care across the continuum, meet patient needs, support appropriate payer reimbursement, and ensure effective resource use.
- Consult social workers to address psychosocial care issues and develop complex transition and discharge plans; interact with patients, families, healthcare professionals, and community and state agencies as needed.
- Serve as a liaison between the hospital and community agencies or facilities to exchange clinical and referral information.
- Maintain hospital compliance with Quality Improvement Organization (QIO) series and CMS guidelines.
- Use medical necessity criteria to assess the appropriateness of care level and setting; assist with denials and appeals, assess quality, and identify and report potential risk-management issues.
- Participate in and complete patient safety initiatives appropriate to the position.
- Carry out 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
