The RN Care Coordinator is a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. The role is to ensure that patient’s progress in the acute episode of care through post discharge is quality driven while being efficient, cost effective, and safe. The nurse care coordinator is patient focused and outcome oriented.
- Bachelors degree is required
- Appropriate licensure is required
- Computer skills are required
- Customer service skills are required
- Excellent communication skills are required
- Experience in an acute care setting is required
Works with the attending and consulting physicians to facilitate effective and efficient transition through the process of hospitalization. Work 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. The nurse care coordinator serves as an advanced clinical resource to the team.
Serve 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 the Mission and Values of the Hospital and organization. Responsible for establishing and maintaining a professional rapport with providers, patients/families, and internal customers.
These two positions will be float nurses that will not have a permanent assignement. There responsibility will be to become proficienct with a broad range of patient types in order to fill in for short term assignements when RNCCs are out due to vacation and/or sick time.
Minimum of 3 years expereince in acute care setting
1 year of UM/Care Coordination experience preferred
Clinincal experience with specialty population
VCU Health System - 10 months ago