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Job description
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.
nLicensure, Certification, or Registration Requirements for Hire:
nLicensed Registered Nurse in the State of Virginia or eligible
nLicensure, Certification, or Registration Requirements for continued employment:
nCurrent RN licensure in Virginia Complete 15 Continuing Education Units per year
nExperience REQUIRED: Minimum of three (3) years of nursing experience in an acute care setting
nExperience PREFERRED:
nAcademic healthcare experience One (1) year of UM/Care Coordination experience Clinical experience with specialty patient population
nEducation/training REQUIRED:
nBaccalaureate 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.
nEducation/training PREFERRED:
nMaster's Degree in Nursing or a healthcare related field from an accredited program
nIndependent action(s) required:
nWorks with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization.
nWorks 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.
nSeeks 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.
nServes as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
nThe role is responsible for maintaining hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines.
nUtilizes 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.
nResponsible for participation in and completion of all patient safety initiatives appropriate to the position.
nThe incumbent conducts all job responsibilities according to VCUHS’ Mission and Values.
nResponsible for establishing and maintaining a professional rapport with providers, patients/families, and internal customers.
nSupervisory responsibilities (if applicable): N/A
nAdditional position requirements:
nDay and Evening shifts available
nAge Specific groups served: All
nPhysical Requirements (includes use of assistance devices as appropriate):
nPhysical: Lifting 20-50 lbs.
nActivities: Prolonged sitting, Walking (distance)
nMental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
nEmotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent, change
nEEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Worksite address
richmond, VA, 23214, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.