Start the day excited to make a difference...end the day knowing you did. Come join our team.

Essential Functions & Responsibilities:

• Responsible for the recruitment, selection, orientation and retention of delegated staff.
• Responsible for optimizing organizational patient throughput and service coordination activities by fully leveraging Care Navigator software and roles.
• Collaborates with leaders, physicians, nurses, allied health professionals, and support staff optimize patient throughput for the organization.
• Provides leadership and strategic direction for service coordination model initiatives and outcomes throughout the healthcare system.
• Ensures service coordination activities comply with established policies and procedures, standards of care, regulatory requirements, budgetary parameters, and strategic objectives.
• Collaborates with facility and department leaders to sustain the integrity of the Care Coordination Model--roles, standard operating procedures (SOPs), Care Logistics operating system software, SNAP, POP and Escalation Huddles, and Operational Rounding.
• Plans, organizes, and tracks service coordination, utilization review, and Care Navigator performance improvement efforts to ensure alignment with organizational initiatives.
• Monitors and reports performance and outcome data to administrative leadership, medical staff, and department leaders.
• Partners with internal and external organizations to plan, develop, implement, and evaluate UR processes and outcomes within the Care Coordination department.
• Provides utilization review (UR) quality assurance and Milliman Care Guidelines (MCG) support and/or training for Care Coordination team members as needed.
• Represents the Care Coordination team in meetings and committees as required.
• Performs other duties as assigned.
  

Qualifications:

• Valid RN License from Virginia or reciprocal compact state required.
• Bachelor's degree in Nursing (BSN) from an accredited nursing school required.
• Minimum of 5 years acute care clinical experience required.
• Strong organizational and quality management skills with ability to handle multiple, competing tasks and priorities required.
• Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word required.
• Experience with performance improvement methodology and tools preferred.
• Experience with utilization management preferred.
• Milliman Care Guidelines Certification preferred.
  

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.