RN Care Coordinator RMG

RN Care Coordinator RMG page is loaded## RN Care Coordinator RMGlocations:
Newport Square Professional Center - Newport News, Virginia time type:
Full time posted on:
Posted Todayjob requisition :
Newport News, Virginia  
** Overview
* * Works under the supervision of the Manager and the Director and is responsible for working in collaboration with the healthcare team to coordinate the care and service to patients across the continuum of care, promotes effective utilization and monitoring of healthcareresources and assumes a leadership role with the interdisciplinary team to achieve optimal quality, clinical and resource outcomes.

Works under the direction of the leadership team to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans.

** What you will do*
* * Demonstrates the ability to build trusting, collaborative relationships with staff, peers, physicians and other  disciplines/ancillary services. In addition, capable of completing the problem solving cycle from identification to  problem resolution so as to maximize opportunity or minimize problem. Demonstrates behaviors that reflect  “commitment to my co-worker”.
* Seeks to attain knowledge and competency that reflects current understanding of clinical practice, guidelines and  measures promoting the mission, vision and values of RHS.
* Collaborates with the physicians to ensure compliance with level of care assessments based on clinical needs and  utilization criteria and issues relevant to noncoverage/possible denials.
* Assesses patient records of population for identifying medical care gaps, ER utilization, acute hospital stays and  readmissions. Performs utilization review activities in accordance with Riverside Regional Medical Center’s  Utilization Management Plan. Confers regularly with physician on plan of care or continued stay and physician  documentation.
* Assesses patients and families to determine needs and available resources so that the needs of the individuals are  met in the most cost effective way. Strives to continuously improve the quality, process and outcomes of patient  care.
* Oversees performance of appropriate and timely case management referral processing to include initiating and  contacting payer’s case management office, contacting patients and monitoring consult status’ through closure of  documentation in the payer database.  
** Qualifications*
* ** Education*
* * Program Graduate, Nursing (Required)
* Bachelors Degree, Nursing (Preferred)  
** Experience*
* * 3-4 years Clinical experience (Required)
* Previous Case Management specific experience (Preferred)  
** Licenses and Certifications*
* * Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required)
To learn more about being a team member with Riverside Health System visit us at .If loving your work is important to you, consider a career  joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team.

We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks.
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