Care Coordinator (RN) - Acute Care Pediatrics

VCU Health; Richmond (VA); On-site; USD 73,000 - 121,000; Full time

Job summary

VCU Health in Richmond, VA seeks an RN Care Coordinator to lead patient transitions from acute care through post-discharge, coordinating with physicians, social workers, and payers to ensure safe, cost-effective care. The role emphasizes quality, patient focus, and outcome orientation.

The ideal candidate holds a BSN with Virginia licensure and has 3+ years in acute care, plus UM/care coordination experience; a MSN or related field is preferred. Day/evening shifts are available.

Qualifications

• Baccalaureate Degree in Nursing from an accredited School of Nursing is required.
• Current RN licensure in Virginia is required.
• Minimum of three (3) years of nursing experience in an acute care setting is required.
• One (1) year of UM/Care Coordination experience is preferred.
• Master’s Degree in Nursing or healthcare related field is preferred.

Responsibilities

• Collaborates with attending and consulting physicians to facilitate transitions through hospitalization.
• Works with the multi-disciplinary team to coordinate care across the continuum and assure payer reimbursement.
• Resolves psychosocial care issues with social workers and develops complex discharge plans as needed.
• Interacts with patients, families, and community resources to ensure needs are met.
• Ensures compliance with Quality Improvement Organization (QIO) and CMS guidelines.

Skills

Nursing

Interdisciplinary collaboration

Communication

Care coordination

Problem solving

Education

Baccalaureate Degree in Nursing

Master’s Degree in Nursing or related field

Job description

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

#tower

Licensure, Certification, or Registration Requirements for Hire: Licensed Registered Nurse in the State of Virginia or eligible Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia Complete 15 Continuing Education Units per year Experience REQUIRED: Minimum of three (3) years of nursing experience in an acute care setting Experience PREFERRED: Academic healthcare experience One (1) year of UM/Care Coordination experience Clinical experience with specialty patient population Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing Education/training PREFERRED: Master’s Degree in Nursing or a healthcare related field from an accredited program

Independent action(s) required: 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 in this effort. 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. The role is responsible for maintaining 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. The incumbent 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. Supervisory responsibilities (if applicable): N/A Additional position requirements: Day and Evening shifts available Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged sitting, Walking (distance) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent, change

Compensation Range

$73,133.00 - $120,744.00

Actual salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.

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