RN Care Coordinator - Care Coordination - PRN - Days

Virginia Commonwealth University Health Systems; Richmond (VA); On-site; USD 65,000 - 98,000; Full time

Job summary

Virginia Commonwealth University Health Systems is seeking an RN Care Coordinator to support a multidisciplinary team in transitioning patients from hospital to home or other care settings. The role ensures safe, efficient care across the continuum with emphasis on discharge planning and payer collaboration.

Required Virginia RN license or eligibility and 3+ years in acute care; master's degree preferred. This full-time role offers day/evening shifts in the Richmond area.

Qualifications

• Licensed Registered Nurse in the State of Virginia or eligible
• Minimum of three (3) years of nursing experience in an acute care setting
• Academic healthcare experience
• One (1) year of UM/Care Coordination experience
• Clinical experience with specialty patient population
• Baccalaureate Degree in Nursing or a Bachelor's degree in a biological/health or social sciences field
• Master's Degree in Nursing or a healthcare related field

Responsibilities

• Works with the attending and consulting physicians to facilitate effective and efficient transition through the hospitalization process.
• Collaborates with all members of the multidisciplinary team to coordinate care and ensure appropriate reimbursement by payers.
• Seeks the expertise of social workers to resolve psychosocial issues and develop complex transition/discharge plans.
• Acts as a liaison between the hospital and community agencies for information exchange.
• Maintains compliance with Quality Improvement Organization (QIO) and CMS guidelines.
• Uses medical necessity criteria to assess care level and setting, assists in denials and appeals.
• Participates in patient safety initiatives and upholds VCUHS Mission and Values.
• Establishes and maintains professional rapport with providers, patients, and internal customers.

Skills

Care coordination

Discharge planning

Interdisciplinary collaboration

Patient advocacy

Education

Bachelor's degree in Nursing

Bachelor's degree in biological/health sciences

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