Care Coordinator (RN) - Acute Care Pediatrics
Core
Coordinate patient care transitions from acute hospitalization to post-discharge settings, ensuring quality, efficiency, and safety while managing payer reimbursement and compliance.
Role type
Acute care pediatric RN Care Coordinator
Builds
Discharge plans and care transitions for pediatric patients
Domain
Healthcare / Acute Care Pediatrics
Deliverable
client delivery
Required skills
Acute care nursing, multidisciplinary team collaboration, payer reimbursement management, QIO/CMS guideline compliance, medical necessity assessment, risk management, social work liaison, community agency coordination
Preferred skills
Academic healthcare experience, UM/Care Coordination experience, specialty patient population clinical experience, Master's in Nursing
Technologies
None stated
Responsibilities
Facilitate hospitalization transitions with physicians, coordinate care across the continuum with multi-disciplinary teams, develop complex discharge plans with social workers, assess medical necessity and assist in denial/appeals processes, maintain compliance with QIO and CMS guidelines, participate in patient safety initiatives
Seniority
Mid-level, hands-on IC