Care Coordinator (RN) - Acute Care Pediatrics

Virginia Commonwealth University Health; Richmond, Northern (VA, KY); Hybrid; USD 73,000 - 121,000; Full time

Job summary

Virginia Commonwealth University Health is seeking an RN Care Coordinator for Acute Care Pediatrics in Richmond. The role supports patient transitions from hospitalization, collaborates with physicians and a multidisciplinary team, and ensures efficient, quality care with appropriate payer coordination.

Requirements include Virginia RN licensure or eligibility, 3+ years in acute care, and preferred academic healthcare experience or UM/Care Coordination background.

Qualifications

• Baccalaureate Degree in Nursing from an accredited School of Nursing.
• Licensed Registered Nurse in Virginia or eligible for licensure.
• Minimum of three (3) years of nursing experience in an acute care setting.
• Academic healthcare experience is preferred.
• UM/Care Coordination experience is desired.

Responsibilities

• Collaborates with attending and consulting physicians to facilitate transitions through hospitalization.
• Works with the multidisciplinary team to coordinate care across the continuum and ensure appropriate reimbursement.
• Engages social workers to resolve psychosocial issues and develop discharge plans.
• Acts as liaison between hospital and community agencies for information exchange.
• Participates in QIO and CMS guideline compliance, medical necessity assessment, and risk management.
• Contributes to patient safety initiatives and maintains professional rapport with providers and families.

Skills

Care coordination

UM/Care coordination experience

Academic healthcare experience

Education

Bachelor's Degree in Nursing

Master's Degree in Nursing or healthcare field

Job description

## Care Coordinator (RN) - Acute Care PediatricsApply: Richmond, VA: Children's Hospital of Richmond: Full time: Posted 3 Days Ago: R46488The 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. #towerLicensure, Certification, or Registration Requirements for Hire:Licensed Registered Nurse in the State of Virginia or eligibleLicensure, Certification, or Registration Requirements for continued employment:Current RN licensure in Virginia Complete 15 Continuing Education Units per yearExperience REQUIRED: Minimum of three (3) years of nursing experience in an acute care settingExperience PREFERRED:Academic healthcare experience One (1) year of UM/Care Coordination experience Clinical experience with specialty patient populationEducation/training REQUIRED:Baccalaureate Degree in Nursing from an accredited School of NursingEducation/training PREFERRED:Master's Degree in Nursing or a healthcare related field from an accredited programIndependent 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/AAdditional position requirements:Day and Evening shifts availableAge Specific groups served: AllPhysical 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 thinkingEmotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent, changeCompensation Range$73,133.00 - $120,744.00Actual salary offers will be based on several key factors to include relevant work experience, credentials, and qualifications.