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Registered Nurse (RN) - Care Coordinator Labor Pool
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$38/hr–$53/hr
Part-time
associate degree, bachelor degree
Posted 48d ago
~40 hrs/week
Responsibilities
Coordinate patient care across the continuum by leading discharge planning and conducting comprehensive clinical and psychosocial assessments. Collaborate with interdisciplinary teams and external agencies to ensure safe, timely, and cost-effective transitions to appropriate levels of care.
Requirements
Requires a Nursing Diploma or Associate degree and 3-4 years of clinical experience, with a valid Virginia RN license. A Bachelor's degree and ACM/CCM certification are preferred.
Full job description
Newport News, 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 department leadership 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. Utilizes national hospital based ACMA Scope of Services and Standards of Practice as foundation of Care Management.
What you will do
Lead discharge planning from admission through post-discharge follow-up. Conduct comprehensive assessments of patients’ clinical, psychosocial, and discharge planning needs. Develop, implement, and update individualized and cost-effective discharge plans. Utilizes sequencing of interventions for safe, timely, efficient, effective, equitable, and patient-centered transitional planning. Coordinate safe and timely transitions to appropriate levels of care including but not limited to home, skilled nursing facility, acute rehab, and behavioral health.
Collaborate with the interdisciplinary team, patient, their family/support system, payers, and community resources to ensure a smooth transition of care. Act as a liaison between the clinical team, patient and family, and any external agencies in the development of safe discharge plans. Participate in daily rounds, case conference, family meetings, weekly outlier case reviews, and multidisciplinary team meetings, communicating discharge updates clearly and proactively to all stakeholders.
Ensure compliance with federal and state discharge planning regulations, in accordance with CMS’ Conditions of Participation. Monitor length of stay and identify/resolve barriers to timely discharge. Promote transparency and open communication by maintaining accurate, timely, and compliant documentation in the medical record. Maintain current knowledge of care management best practices and regulatory changes and understand Medicare/Medicaid, managed care, and other payer requirements. Delivers all notices (i.e. Important Message from Medicare, Medicare Outpatient Observation Notice) appropriately and according to CMS regulatory guidelines.
Promote patient-centered care and shared decision-making in the development of appropriate discharge plans. Educate patients and families on treatment plans, discharge options, and available resources. Places referrals to complex case management as needed.
Participate in quality improvement initiatives related to readmissions, throughput, and patient outcomes. Identify and document internal and external avoidable days. Act as a resource to fellow non-clinical care coordinators and assist with appropriate discharge planning as necessary.
Qualifications
Education
Program Graduate, Nursing - Diploma Program (Required) or
Associates Degree, Nursing (Required) or
Bachelors Degree, Nursing (Preferred)
Experience
3-4 years Clinical experience required (may include LPN experience) (Required)
1 year Case management experience (Preferred)
Licenses and Certifications
Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required)
Accredited Case Manager (ACM) - American Case Management Association (ACMA)/CCM Upon Hire (Preferred)
Living our mission to care for others as we would care for those we love.
Industry
Hospitals and Health Care
Company size
5,001-10,000 employees
Founded
1915
Headquarters
Newport News, Virginia
LinkedIn followers
28,772
Riverside Health is a non-profit, integrated network of hospitals, physicians, continuing care facilities, wellness centers, etc. providing comprehensive, high quality health care services to citizens of eastern Virginia. Riverside has been the leading provider of state-of-the-art healthcare in the region since 1915.
All information shared on this social media platform is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care providers with any questions you may have regarding your health. Never disregard professional medical advice or delay in seeking it because of something you have heard or read.
Offices: 701 Town Center Drive, Suite 1000, Newport News, Virginia 23606, US · 120 Kings Way, Williamsburg, VA 23185, US
Health SystemHospitalsand Physician PracticesHospitalHealth CareMedical