RN Care Coordinator - Labor Pool - Days

101 Riverside Hospital, Inc.; Williamsburg (VA); On-site; USD 53,000 - 73,000; Full time

Job summary

101 Riverside Hospital, Inc. in Williamsburg, Virginia seeks a Registered Nurse to collaborate with the healthcare team, coordinate patient care across the continuum, and promote efficient use of resources.

The role requires a BSN and 3+ years of clinical experience with Virginia RN licensure, working under supervision of nursing leadership to achieve quality outcomes and patient satisfaction.

Qualifications

• Three or more years specific clinical experience.
• Related experience or basic understanding of case management.

Responsibilities

• Collaborate with healthcare team to coordinate patient care across the continuum.
• Assist with utilization review and ensure compliance with plan of care and criteria.
• Communicate plan of care with physicians and ensure proper documentation of admissions and discharges.
• Participate in discharge planning and care coordination to optimize outcomes.

Skills

Clinical experience

Case management

Education

BSN (Required)

Job description

Williamsburg, Virginia Hiring Range $38.60 - $53.08/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

Works under the supervision of the Manager and the Director and is responsible for working in collaboration with the healthcare team to coordinate the care and service to patients across the continuum of care, promotes effective utilization and monitoring of healthcare resources and assumes a leadership role with the interdisciplinary team to achieve optimal quality, clinical and resource outcomes. Works to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans.

What you will do

Demonstrates the ability to build trusting, collaborative relationships staff, peers, physicians and other disciplines/ancillary services. In addition, capable of completing the problem solving cycle from identification to problem resolution so as to maximize opportunity or minimize problem. Demonstrates behaviors that reflect “commitment to my co-worker”. Seeks to attain knowledge and competency that reflects best practice for improved outcomes of clinical practice, guidelines and measures promoting the mission, vision and values of RHS. Collaborates with the physicians to ensure compliance with level of care assessments based on clinical needs and utilization criteria and issues relevant to noncoverage/possible denials. Assesses patient records on assigned unit for medical necessity of acute hospital stay and LOS assignment. Performs utilization review activities in accordance with Riverside Regional Medical Center’s Utilization Management Plan. Confers regularly with physician on plan of care or continued stay and physician documentation. Assesses patients and families to determine needs and available resources so that the needs of the individuals are met in the most cost effective way. Strives to continuously improve the quality, process and outcomes of patient care. Performs appropriate and timely general discharge planning duties to include arranging home health care, durable medical equipment, referrals to the Medical SW and Medicare IM notification. Completes admission/continuing stay reviews to support revenue integrity and refers for PA review as required by regulatory mandates. Documents admission/concurrent payer authorizations and denials. Maintains knowledge and understanding of Medicare/Medicaid, Managed Care and other Payer requirements and communicates clinical admission and continued stay updates to payers for authorization of hospital stay in a timely fashion.

Qualifications

Education BSN (Required) Experience Three or more years specific clinical experience. Related experience or basic understanding of case management, and health care delivery. (Required) Licenses and Certifications Registered Nurse (RN) - Virginia Department of Health Professions (Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities.