Registered Nurse (RN) - Care Coordinator - Weekend Float

Virginia Commonwealth University Health Systems; Richmond (VA); On-site; USD 73,000 - 121,000; Full time

Job summary

Virginia Commonwealth University Health Systems is seeking an RN Care Coordinator to lead transitions from acute care to post-discharge settings. You will work with physicians, social workers, and payers to ensure efficient, safe, and cost-effective care while focusing on patient outcomes.

The role requires Virginia RN licensure (or eligibility) and at least 3 years in an acute care setting, with preferred UM/care coordination experience and a Master’s degree in nursing or related field.

Qualifications

• RN licensure in Virginia or eligibility
• Minimum 3 years nursing experience in acute care
• Ability to work with multidisciplinary team for transition and discharge planning

Responsibilities

• Works with attending and consulting physicians to facilitate transition through hospitalization.
• Collaborates with the multi-disciplinary team to coordinate care and ensure appropriate reimbursement.
• Seeks social workers to resolve psychosocial issues and develop complex discharge plans.
• Liaises between hospital and community agencies for information exchange.
• Ensures compliance with CMS/QIO guidelines and uses medical necessity criteria.
• Supports patient safety initiatives and upholds VCUHS Mission and Values.
• Maintains professional rapport with providers, patients, families, and internal customers.

Skills

RN Care Coordination

Education

Baccalaureate Degree in Nursing

Bachelor's degree in biological/health or social sciences

Master's Degree in Nursing or healthcare 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.

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,or a Bachelor's degree in a biological, health or social sciences field from an accredited school.

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