Care Coordinator (RN) - Medicine - Days

Responsibilities

• Works with attending and consulting physicians to facilitate effective and efficient transition through the hospitalization process.
• Collaborates with multidisciplinary team members (physicians, social workers, discharge planning assistants, payers) to ensure patient needs are met, care delivery is coordinated across the continuum, and resources are utilized efficiently and reimbursed appropriately.
• Seeks expertise of social workers to resolve psychosocial issues and develop complex patient transition/discharge plans.
• Interacts with patients, family members, healthcare professionals, community and state agencies to support patient‑focused, outcome‑oriented care.
• Serves as an advanced clinical resource to the team and as a liaison between the hospital and community agencies/facilities for exchange of clinical and referral information.
• Maintains hospital compliance with Quality Improvement Organization (QIO) series and CMS guidelines.
• Utilizes medical necessity criteria to assess appropriateness of level and setting of care, assists in denial and appeals processes, 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 professional rapport with providers, patients/families, and internal customers.

Requirements

• Licensed Registered Nurse in the State of Virginia (or eligible for licensure).
• Current Virginia RN licensure.
• Completion of 15 Continuing Education Units (CEUs) per year.
• Minimum of three (3) years nursing experience in an acute care setting.
• Physical ability to lift 20–50 lb, prolonged sitting, and walking distances; strong recall, reasoning, problem‑solving, hearing, clear speech, legible writing, reading, and logical thinking.
• Emotional stamina to handle multiple priorities, frequent intense customer interactions, and adapt to frequent change.

Preferred Experience & Education

• Academic healthcare experience.
• One (1) year of utilization management/care coordination experience.
• Clinical experience with a specialty patient population.
• Master’s Degree in Nursing or a healthcare‑related field from an accredited program.

Education

• 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 (required).

Physical Requirements

Ability to lift 20–50 lb; prolonged sitting; walking distances; strong cognitive and sensory abilities (recall, reasoning, problem solving, hearing, speaking clearly, writing legibly, reading, logical thinking); steady pace; capacity to handle multiple priorities and frequent intense customer interactions; adaptability to frequent change.

Pay

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

Schedule

Day and evening shifts available; weekend day shifts also offered.