RN Care Coordinator - Care Coordination - PRN - Days

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 ensure safe, efficient patient transitions from acute care through post-discharge. The role emphasizes collaboration with physicians, social workers, discharge planners, and payers to optimize outcomes.

The position requires Virginia RN licensure or eligibility with a BSN (or related science degree) and at least three years of acute care experience; a Master's degree is preferred.

Qualifications

• RN licensed in Virginia or eligible.
• Minimum of three (3) years nursing experience in an acute care setting.
• BSN or related degree required.
• Master's degree preferred.

Responsibilities

• Works with physicians and care team to facilitate effective transitions through hospitalization.
• Collaborates with multidisciplinary team to ensure coordinated patient care and appropriate reimbursement.
• Seeks social work expertise to resolve psychosocial care issues and develop discharge plans when needed.
• Serves as liaison between hospital and community facilities for information exchange.
• Maintains compliance with CMS guidelines and QIO-related requirements.
• Assists in evaluating care level and setting using medical necessity criteria and supports safety initiatives.
• Upholds VCUHS Mission and Values in all responsibilities.
• Establishes professional rapport with providers, patients, families and internal customers.

Skills

Care coordination

Team collaboration

Patient safety

Education

BSN or related science degree

Master's degree in Nursing or healthcare field

Job description

To assist with coverage of full time staff PTO and weekend coverage. 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

$35.16 - $120,744.00

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

Rotating

EEO Employer/Disabled/Protected Veteran