Care Coordinator (RN) - Acute Care Pediatrics

Virginia Commonwealth University Health; United States; On-site; USD 73,000 - 121,000; Full time

Job summary

Virginia Commonwealth University Health seeks an RN Care Coordinator to join a multidisciplinary team, guiding patient transitions from acute care through discharge. You will coordinate with physicians, social workers, discharge planners, and payers to ensure quality, cost-effective, and safe care.

Requirements include Virginia RN licensure, a BSN, and at least three years in acute care, with UM/Care Coordination experience preferred.

Qualifications

• BSN from an accredited School of Nursing.
• Licensed RN in Virginia or eligible for licensure.
• 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.
• One year of UM/Care Coordination experience preferred.

Responsibilities

• Works with attending and consulting physicians to facilitate transitions through hospitalization.
• Collaborates with the multi-disciplinary team to coordinate care across the continuum.
• Ensures care delivery is appropriate for payers and resources are utilized efficiently.
• Resolves psychosocial issues with social workers and develops complex transition/discharge plans.

Skills

Care coordination

Interdisciplinary collaboration

Patient advocacy

Communication skills

Education

BSN

MSN preferred

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.

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.

EEO Employer/Disabled/Protected Veteran.

Who We Are. Inventing better care, day by day by discovery. Sound outrageous? It absolutely is. Sound impossible? That’s never stopped us before. Sound like hard work, intense research, collaboration with experts around the world, sheer brainpower meets unrelenting willpower? That’s. Exactly. Right. We’ll do whatever it takes to offer the best in care and empower the best in quality of life. And it’s an approach that works — whether it’s a patient who undergoes a new, life-saving procedure or a clinical researcher who finds promise in a new cancer treatment, exciting new medicine is happening at VCU Health. We have it all:

• One college and four health sciences schools
• An academic medical center
• A Level I trauma center
• One of only two NCI-designated cancer centers in Virginia
• The region’s only full-service children’s hospital
• More than 800 physicians in 200 specialties
• With a community health center, dedicated research teams, facilities and valued partners in every field

Our medical teams are top notch. And we’re not too shy to boast of internationally known physicians, some recognized as the best in the country, top-ranked local specialists and all-around all-stars at every level. From our very first years to our most recent advancements, we are driven to learn more, dig deeper, teach passionately and never rest in order to be a true leader in discovering what’s possible in health and recovery. We are a comprehensive system of care and a pioneer of health. Read VCU Health Year In Review for more about our accomplishments.