Registered Nurse - Unit Clinical Care Coordinator - Full Time
Valley Health —Winchester, VA
- $37.24 - $54.07 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Wellness program
- Health savings account
Registered Nurse Care Coordinator - Full time
Valley Health —Winchester, VA
- $34.00 - $48.87 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health savings account
Registered Nurse Care Coordinator - Full time
Valley Health —Winchester, VA
- $34.00 - $48.87 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health savings account
Registered Nurse - Care Coordinator - Full Time
Valley Health —Winchester, VA
- $34.00 - $48.87 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health savings account
9d
Case Manager Per Diem First Shift
Valley Health —Winchester, VA
- $34.00 - $48.87 an hour
- Part-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health savings account
Case Manager - Full Time
Valley Health —Winchester, VA
- $34.00 - $48.87 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health savings account
Registered Nurse - Nursing Officer of the Day - Patient Flow Coordinator
US Veterans Health Administration —Martinsburg, WV
- $73,066 - $137,588 a year
- Weekends as needed
- Acute care
- Background check
- Nursing
- Paid holidays
- Dental insurance
2d
Care Navigator
Blue Ridge Care —Winchester, VA
- Full-time
- Nursing
- RN License
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
Clinical Manager Operating Room
JMC Jefferson Medical Center —Ranson, WV
- Full-time
- Nursing
- Surgery
- RN License
3d
Dialysis Clinical Manager Registered Nurse - RN
Fresenius Medical Care —Martinsburg, WV
- Full-time
- Nursing
- RN License
- Administrative experience
- Tuition reimbursement
Travel Case Management RN
Fastaff —United States
- Up to $2,826 a week
- Full-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Health savings account
Quick Apply
4d

Other jobs to consider

Find your next job by exploring related positions.

RN - Registered Nurse (Awake Overnight)
YOUTH FOR TOMORROW NEW LIFE CENTER INC —Bristow, VA
Current active license in Virginia as a Registered Nurse. Attends all training mandated by YFT and maintenance of license and certifications.
$100,000 - $105,000 a year
Registered Nurse - Unit Clinical Care Coordinator - Full Time
Valley Health —Winchester, VA
A current multistate (compact) RN license issued by the nurse’s state of residency (RNs have 60 days after relocating to a new state to apply for a multistate (…
$37.24 - $54.07 an hour

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Care Management RN - Outpatient Oncology
The Ohio State University Wexner Medical Center —Columbus, OH
This position maintains awareness of emerging state and national healthcare trends and drives initiatives to enhance care quality and ensure effective resource…
11h
RN Case Manager
Mount Carmel —Dublin, OH
Current license to practice as registered nurse in the State of Ohio. Advocates for patient legal, social, and ethical rights while balancing patient resources…

Show more jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in winchester va

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management nurse jobs near winchester va

Patient Coordinator jobs in Martinsburg, WV

Registered Nurse Manager jobs in Winchester, VA

Case Manager jobs in Winchester, VA

Patient Transporter jobs in Athens, GA

Patient Care Technician jobs in Kaufman, TX

Patient Coordinator jobs in Delray Beach, FL

Event Coordinator jobs in Columbus, OH

Patient Coordinator jobs in Paterson, NJ

Patient Navigator jobs in Chicago, IL

Patient Coordinator jobs in Brookfield, WI

Patient Coordinator jobs in Bronx, NY

Registered Nurse Manager jobs in Green Bay, WI

Registered Nurse Manager jobs in New York State

Registered Nurse Manager jobs in Jacksonville, FL

Registered Dietitian jobs in New York, NY

Fertility Nurse jobs in Cincinnati, OH

Registered Nurse Manager jobs in Harrisburg, PA

Registered Nurse jobs in Woodbridge, VA

Property Manager jobs in Albuquerque, NM

Sutter Health Nurse jobs in San Jose, CA

Registered Nurse - Unit Clinical Care Coordinator - Full Time

Valley Health -
Winchester, VA

Apply Now

Job Details

Full-time
$37.24 - $54.07 an hour

Benefits

Wellness program
Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Customer communication
RN License
Crisis management
BLS Certification

Full Job Description

Department

NURSE CASE MANAGERS - 208415

Worker Sub Type

Regular

Work Shift

Pay Range

$37.24 - $54.07

Job Description

The Unit Clinical Care Coordinator serves as the primary liaison among emergency services, surgical services, nursing, finance, physicians, utilization review, and medical records to ensure appropriate bed assignments, patient care needs are met, and treatment plans are executed at the correct level of care. This role requires exceptional organizational skills to manage multiple tasks simultaneously and the ability to respond effectively in crisis situations, quickly assimilating information to make sound decisions and recognizing circumstances that demand immediate intervention. The coordinator maintains up-to-date knowledge of healthcare economics, trends, and reimbursement methodologies, applying this expertise to daily practice while continuing professional development to deliver care tailored to each patient. Additionally, the Unit Clinical Care Coordinator oversees patient progression and length of stay for the unit’s patients through collaboration and partnership with all members of the healthcare team.

Responsibilities and Duties

Partners with PLC and other care coordination roles to facilitate patient progression of care.

Provides PLC with timely visibility to potential unit transfers and discharges.

Ensures Care Logistics software accurately reflects unit and patient status, including transfers, discharges, and patient location.

Reviews physician admission orders and validates status and level of care; manages observation hours and inpatient target LOS.

Evaluates discharge needs upon admission and ensures a complete discharge plan; refers complex cases to appropriate roles.

Collaborates with unit staff and support teams to progress patient care toward discharge and expedite unit flow for admissions, transfers, and discharges.

Adjusts unit staffing needs based on census and callouts in coordination with Care Management leadership.

Completes required care management functions and documentation, including discharge planning assessments and coordination of simple discharges such as home health, DME, or dialysis.

Oversees completion of pre-procedural requirements and communicates readiness or barriers to the Order Organizer.

Identifies opportunities to transition testing to outpatient settings and escalates as appropriate.

Maintains daily communication with physicians through SNAP huddles or Epic to address progression and discharge barriers.

Manages and updates Care Advance in real time.

Identifies patients at risk for readmission and communicates findings to the care team; verifies completion of readmission assessments.

Leads SNAP huddles to anticipate and resolve barriers to progression or discharge; escalates unresolved issues to unit leadership.

Reviews expected discharge dates, target LOS, and working DRG daily; collaborates with CDI team for DRG updates and documentation queries.

Assigns and resolves discharge needs and barriers with nursing and care team roles; initiates interventions as needed.

Monitors patients in observation or outpatient status and updates status appropriately.
Coordinates sequencing of care and interventions with physicians and nurses; ensures appropriate order sets and protocols are initiated.

Collaborates with PLC, ED, surgical teams, providers, and other disciplines on patient progression and care coordination.

Works with PLC Program Assistant for transportation and other care arrangements.

Communicates discharge goals and plans with patients and families in collaboration with providers and care team; addresses concerns and arranges family meetings as needed.

Updates patient status and planned discharge times in Care Logistics software and EMR.

Collaborates with Utilization Review nurses on status changes and delivers regulatory letters when required.

Ensures payer and status requirements align with clinical progression in collaboration with UR nurses.

Serves as consultant and educator for medical staff regarding patient status, placement, payer requirements, and resource utilization.

Proactively identifies and removes barriers to patient flow at the unit and system level.

Meets deadlines and exceeds facility and unit metrics through adherence to policies and standard operating procedures.

Education

Bachelor's Nursing (BSN) is required. Will consider ASN RN who completes a 3 year education agreement.

Masters Nursing (MSN) is preferred.

Graduate of an accredited school of nursing is required.

Experience

Minimum five years of professional practice experience in an acute care setting is preferred.

Prior Case Management or Utilization Management is preferred.

Clinical experience in acute care hospital setting is strongly preferred.

Certification & Licensure

Licensed as a Registered Nurse in the State of Virginia is required. Registered Nurse must hold either:

A current multistate (compact) RN license issued by the nurse’s state of residency (RNs have 60 days after relocating to a new state to apply for a multistate (compact) RN license in their new state of residency); or

A current single‑state RN license issued by Virginia and/or West Virginia, as applicable based on the location(s) where the Registered Nurse will be providing services.

BLS Certification (Basic Life Support) American Heart 'Healthcare Provider' (HCP) AHA approved is required. New hires must have American Heart Association (AHA) appropriate certification prior to completion of orientation.

Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification is required within (4) years of hire.

Qualifications

Excellent written/verbal communication and interpersonal skills with all levels of internal and external customers, critical thinking skills, creative problem solving, proficient organization, and planning.

Must be self- directed and can tolerate frequent interruptions and a demanding workload

Knowledge of funding, resources, services, clinical standards, and outcomes is preferred.

Demonstrated ability to be creative, innovative, and flexible in responding to rapidly changing needs and priorities

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

A Zero-Deductible Health Plan
Dental and vision insurance
Generous Paid Time Off
Tuition Assistance
Retirement Savings Match
A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com .

Apply Now

Refine Your Search

utilization management nurse jobs in winchester va

Registered Nurse - Unit Clinical Care Coordinator - Full Time

Registered Nurse Care Coordinator - Full time

Registered Nurse Care Coordinator - Full time

Registered Nurse - Care Coordinator - Full Time

Case Manager Per Diem First Shift

Case Manager - Full Time

Registered Nurse - Nursing Officer of the Day - Patient Flow Coordinator

Care Navigator

Clinical Manager Operating Room

Dialysis Clinical Manager Registered Nurse - RN

Travel Case Management RN

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for utilization management nurse in winchester va

Explore jobs in more locations

Department

Worker Sub Type

Work Shift

Job Description

Benefits

Job Seeker Tools

Employer Tools

Browse

Stay Connected