Care Coordinator (RN) - Acute Care Pediatrics

About the role

The RN Care Coordinator functions as part of a multidisciplinary team that includes physicians, social workers, discharge planning assistants, and payers. This position ensures that a patient’s progress from the acute episode of care through post‑discharge is quality‑driven, efficient, cost‑effective, and safe. The role is patient‑focused and outcome‑oriented.

Licensure, Certification, or Registration Requirements

• Licensed Registered Nurse in the State of Virginia (or eligible) for hire
• Current RN licensure in Virginia for continued employment
• Complete 15 Continuing Education Units per year

Experience

• Minimum of three (3) years of nursing experience in an acute care setting (required)
• Academic healthcare experience (preferred)
• One (1) year of utilization management/care coordination experience (preferred)
• Clinical experience with a specialty patient population (preferred)

Education / Training

• Baccalaureate Degree in Nursing from an accredited School of Nursing (required)
• Master's Degree in Nursing or a healthcare‑related field from an accredited program (preferred)

Responsibilities

• Works with attending and consulting physicians to facilitate effective and efficient transition through hospitalization.
• Collaborates with all members of the multidisciplinary team to ensure patient needs are met, care delivery is coordinated across the continuum, and resources are utilized efficiently.
• Seeks the expertise of social workers to resolve psychosocial patient‑care issues and develop complex patient transition/discharge plans as needed.
• Interacts with patients, family members, healthcare professionals, community, and state agencies.
• Serves as an advanced clinical resource to the team.
• Acts as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
• Maintains hospital compliance with the Quality Improvement Organization (QIO) series and CMS guidelines.
• Utilizes medical necessity criteria to assess appropriateness of level and setting of care, assists in the denial and appeals process, assesses quality, and reports potential risk‑management issues.
• Participates in and completes all patient‑safety initiatives appropriate to the position.
• Conducts all responsibilities in accordance with VCUHS’ Mission and Values.
• Establishes and maintains a professional rapport with providers, patients/families, and internal customers.

Physical Requirements

• Lifting 20–50 lb.
• Prolonged sitting.
• Walking (distance).
• Strong recall, reasoning, and problem‑solving abilities.
• Hearing and speaking clearly.
• Writing legibly and reading accurately.
• Logical thinking.
• Steady pace; able to handle multiple priorities.
• Frequent and intense customer interactions.
• Ability to adapt to frequent change.

Schedule

Day and evening shifts available.

Compensation

Compensation range: $73,133.00 – $120,744.00. Actual salary offers will be based on relevant work experience, credentials, and qualifications.