RN Care Coordinator: Acute & Post-Acute Transitions

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 experienced Registered Nurse to perform initial admissions assessments in Acute Care and ICU, with occasional ER coverage. The role emphasizes interdisciplinary collaboration, discharge planning, and coordinating with post-acute and community services to meet patient needs.

Ideal candidates hold a BSN or higher, Virginia RN licensure, and at least 3 years in acute care. Master’s degree preferred; day and evening shifts available.

Qualifications

• Minimum of three (3) years of nursing experience in an acute care setting.
• Current RN licensure in Virginia or eligible to obtain licensure.

Responsibilities

• Conduct initial assessment on patient upon admission in Acute Care and ICU; cover ER if needed.
• Collaborate with interdisciplinary team to meet patient needs.
• Develop discharge plans and coordinate post-acute services.
• Provide patient with resources (durable medical equipment) and summarize Medicare/MOON messages.
• Ensure appropriate reimbursement and resources utilization through CMS guidelines and payer contracts.
• Utilize social work resources to resolve psychosocial issues and develop complex discharge plans.

Skills

Interdisciplinary collaboration

Clinical judgment

Care coordination

Patient education

Education

BSN or higher

Virginia licensure eligibility

Job description

Virginia Commonwealth University Health is seeking an experienced Registered Nurse to perform initial admissions assessments in Acute Care and ICU, with occasional ER coverage. The role emphasizes interdisciplinary collaboration, discharge planning, and coordinating with post-acute and community services to meet patient needs.

Ideal candidates hold a BSN or higher, Virginia RN licensure, and at least 3 years in acute care. Master’s degree preferred; day and evening shifts available.