RN Care Coordinator - Care Coordination - PRN - Days
Core
Coordinate patient care transitions from acute hospitalization to post-discharge settings, ensuring quality, efficiency, and cost-effectiveness while managing payer reimbursement and compliance.
Role type
RN Care Coordinator
Builds
Patient discharge plans and care transitions
Domain
Healthcare / Acute Care
Required skills
Acute care nursing, multidisciplinary team collaboration, payer interaction, discharge planning, quality improvement compliance, medical necessity assessment, risk management
Preferred skills
Academic healthcare experience, Utilization Management (UM), specialty patient population experience, Master's in Nursing
Technologies
CMS guidelines, QIO series, medical necessity criteria
Responsibilities
Facilitate effective hospitalization transitions with physicians, coordinate care delivery across the continuum with multi-disciplinary teams, develop complex patient transition/discharge plans, serve as liaison between hospital and community agencies, maintain compliance with QIO and CMS guidelines, assess medical necessity and assist in denial/appeals processes, participate in patient safety initiatives
Seniority
Mid-level, hands-on IC