RN Care Coordinator - Tappahannock - PRN

VCU Health•Richmond, VA

2d•Onsite

About The Position

The RN Care Coordinator functions as part of a multidisciplinary team, including physicians, social workers, discharge planning assistants, and payers. This role ensures that patient progress through the acute episode of care and post-discharge is quality-driven, efficient, cost-effective, and safe. The position is patient-focused and outcome-oriented.

Requirements

Licensed Registered Nurse in the State of Virginia or eligible
Current RN licensure in Virginia
Complete 15 Continuing Education Units per year
Minimum of three (3) years of nursing experience in an acute care setting
Baccalaureate Degree in Nursing from an accredited School of Nursing

Nice To Haves

Academic healthcare experience
One (1) year of UM/Care Coordination experience
Clinical experience with specialty patient population
Master's Degree in Nursing or a healthcare related field from an accredited program

Responsibilities

Works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization.
Works collaboratively with all members of the multi-disciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum, as well as appropriately reimbursed by payers as contracted, and that resources are efficiently and effectively utilized.
Seeks the expertise of social workers to resolve psychosocial patient care issues and to develop complex patient transition/discharge plans as needed.
Interacts with patients, family members, healthcare professionals, community and state agencies.
Serves as an advanced clinical resource to the team.
Serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
Maintains hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines.
Utilizes medical necessity criteria as a tool to assess appropriateness of level and setting of care.
Assists in the denial and appeals process.
Assesses quality and identifies and reports potential risk management issues.
Responsible for participation in and completion of all patient safety initiatives appropriate to the position.
Conducts all job responsibilities according to VCUHS’ Mission and Values.
Responsible for establishing and maintaining a professional rapport with providers, patients/families, and internal customers.