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Care Coordination Assistant - Nursing Facility Attending Service

Virginia Commonwealth University Health Systems
United States, Virginia, Richmond
May 23, 2025
VCU Health is seeking authentic, passionate and inspiring candidates to staff a new, virtually-enabled Hospital-at Home program, housed in the health system's Continuum Integration Center in north Richmond. This exciting opportunity offers innovation and professional growth and you would be joining an already incredible team, which is expanding to provide this new service offering under the highly-regarded VCU Health at Home brand.

Located in contemporary offices on Richmond's Northside, this on-site position will support the continued growth and development of a robust VCU Health at Home strategy, including 24/7 acute virtual monitoring of individuals enrolled in the VCUHS Hospital at Home program, transitional remote patient monitoring, and triage support for both high-risk ambulatory and post-discharge patients across VCU Health System Hospitals.

Hospital-at-Home programs are gaining momentum nationwide, because of the benefits for patients and health systems, including increased patient satisfaction, improved patient outcomes, better performance on value-based metrics and relieving facility capacity constraints. The model operates with a patient-centric focus and a comprehensive, team-based, outcomes-motivated approach to care using population health principles to keep patients healthy.

The Care Coordination Assistant supports the discharge planning process by communicating with and coordinating post discharge services and providers as requested by the Registered Nurse/Social Worker Care coordination team.

These post discharge providers will include but are not limited to: Home Health, Hospice, ALF/RH/SNF/ARF placement, DME, transportation, doctor office visits, etc.

Additionally, the Care Coordination Assistant supports the Utilization Review function of Care Coordination by serving as a liaison between the RN Care Coordinator and external payers, monitoring work queues, submitting of timely information, etc.

Licensure, Certification, or Registration Requirements for Hire: N/A

Licensure, Certification, or Registration Requirements for continued employment: N/A

Experience REQUIRED:
Minimum of two (2) years of healthcare related experience
Knowledge of computers and various computer programs such as Microsoft Suite products, [especially, Word and Excel] and Adobe Professional

Experience PREFERRED:
Three to five (3-5) years experience in acute care academic center or comparable organization

Education/training REQUIRED:
High School Diploma or equivalent

Education/training PREFERRED:
Some college level education

Independent action(s) required:
Coordinates the communication and referrals to post discharge providers including home health, home and inpatient hospice, Long Term Acute Care facilities, Skilled Nursing facilities, Assisted Living facilities, DME, transportation and any other type of post discharge provider of services required.

Supervisory responsibilities (if applicable): N/A

Additional position requirements:
Day shifts, Monday through Friday and possible rotating weekends

Age Specific groups served: N/A

Physical Requirements (includes use of assistance devices as appropriate):
Physical - Lifting 20-50 lbs.
Activities: Prolonged sitting, Walking (distance), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

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