RN Care Coordinator: Care Delivery & Utilization Lead

Riverside Health; Williamsburg, Northern (VA, KY); Hybrid; USD 53,000 - 73,000; Full time

Job summary

Riverside Health System in Williamsburg, VA is seeking an RN to coordinate care across the continuum under supervision of the Manager and Director. The role emphasizes utilization management, collaboration with the healthcare team, and ensuring efficient, high-quality patient care aligned with Riverside goals.

The ideal candidate holds a BSN, Virginia RN license, and 3+ years of clinical experience. This position offers competitive hourly pay and benefits, reflecting experience and internal

Qualifications

• BSN required
• 3+ years clinical experience
• Experience with utilization management (UM) and discharge planning preferred
• Licensed RN in Virginia (VR professions)

Responsibilities

• Collaborate with healthcare team to coordinate patient care across continuum
• Perform utilization review and assist with plan of care and physician documentation
• Discharge planning and referral coordination to home health and Medicare/insurance as needed
• Ensure compliance with Medicare/Medicaid, Managed Care, and payer requirements

Job description

Riverside Health System in Williamsburg, VA is seeking an RN to coordinate care across the continuum under supervision of the Manager and Director. The role emphasizes utilization management, collaboration with the healthcare team, and ensuring efficient, high-quality patient care aligned with Riverside goals.

The ideal candidate holds a BSN, Virginia RN license, and 3+ years of clinical experience. This position offers competitive hourly pay and benefits, reflecting experience and internal