Care Coordinator (RN) - Weekends

About the role

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.

Responsibilities

• 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.
• Sets up and resolves psychosocial patient care issues and develops 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.

Qualifications

• 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
• 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