About this role
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
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Other facts
About VCU Health
We are a strong, passionate team of more than 12,500 who take pride in caring for every person who comes through our doors. We lift each other up so we can provide the very best and safest care to those who need us most. Together. Every day.
With the support of our university, we make up an academic medical center committed to excellence in patient care, innovation and training tomorrow’s health care workforce. We continue to educate, research and evolve – staying on the cutting edge of care.
As a community of innovators, every team member can contribute a spark of ingenuity igniting a force to discover the next cure, hold the next hand, solve the greatest challenges and create the health care of tomorrow.
We foster an atmosphere of respect and welcoming for all communities. We infuse our teams with diverse talent that inspires everyone to contribute openly and freely, maximizing their impact and creating meaningful change for our patients and community.
Join our team and help us create a new kind of patient experience. Join VCU Health.
EEO Statement:
VCU Health System strictly prohibits and does not tolerate discrimination against, or harassment of, team members, applicants, or any other covered persons because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex (sexual orientation, gender identity or expression and pregnancy), protected veteran status, marital status, genetic information, or any other protected characteristics under applicable federal, state, or local law.
Pay Transparency Provisions:
VCU Health System complies with the Pay Transparency Provisions.
What you'll do
- The RN Care Coordinator works with a multidisciplinary team to ensure quality-driven patient care from hospitalization through discharge. They facilitate effective transitions, coordinate care delivery, and maintain compliance with healthcare guidelines.
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