Registered Nurse (RN) - Care Coordinator
VCU Health • Richmond, VA4d
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Registered Nurse (RN) - Care Coordinator - Weekend Float - Every Other Weekend
VCU Health•Richmond, VA
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 patients’ progress through acute care and post-discharge, with an emphasis on quality, efficiency, cost effectiveness, safety, and patient-focused outcomes. The Care Coordinator collaborates with physicians and the broader care team to coordinate care across the continuum, facilitate transitions and discharge planning, and support appropriate reimbursement and resource use. The role also applies medical necessity criteria, supports denial and appeals processes, monitors quality and potential risk issues, and helps maintain compliance with QIO series and CMS guidelines. The incumbent serves as an advanced clinical resource and a liaison between the hospital and community agencies or facilities. Responsibilities are carried out in accordance with VCUHS’ Mission and Values, maintaining professional rapport with providers, patients, families, and internal customers.
Requirements
- Current or eligible Registered Nurse licensure in Virginia at hire; current Virginia RN licensure is required for continued employment.
- Complete 15 continuing education units per year.
- At least three years of nursing experience in an acute care setting.
- A 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.
- Ability to meet the physical requirements, including lifting 20–50 pounds, prolonged sitting, and walking distances.
- Strong recall, reasoning, problem-solving, hearing, clear speaking, 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 utilization management or care coordination experience.
- Clinical experience with a specialty patient population.
- A 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 meet patient needs, coordinate care across the continuum, support appropriate payer reimbursement, and use resources efficiently and effectively.
- Seek social work expertise to address psychosocial patient care issues and develop complex transition or discharge plans as needed.
- Interact with patients, family members, healthcare professionals, and community and state agencies to support care coordination.
- 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 QIO series and CMS guidelines.
- Use medical necessity criteria to assess the appropriateness of the 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.
- 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
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