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The Care Coordination Team Lead provides clinical direction and mentoring to social work and nursing staff, guiding safe, efficient patient discharges and seamless care transitions. In this role you will:
- Provide daily leadership and support to RN Care Coordinators and master's-prepared Social Workers, ensuring alignment with clinical standards of practice.
- Partner with interdisciplinary teams to address discharge barriers, reduce length of stay, and prevent avoidable readmissions.
- Facilitate complex care planning, incorporating patients’ physical, spiritual, cultural, and psychosocial needs.
- Collaborate with post-acute providers, payers, and community resources to ensure seamless care transitions.
- Mentor staff, foster professional growth, and coach team members on crucial conversations with patients and families.
- Engage in ongoing professional development to maintain and enhance expertise.
Licensure, Certification, or Registration Requirements for Hire:
REGISTERED NURSE: Current RN licensure in Virginia or eligible (NURSING ONLY)
BEHAVIORAL HEALTH: Current LCSW licensure in Virginia required.
CLINICAL SOCIAL WORK: N/A
Licensure, Certification, or Registration Requirements for continued employment:
REGISTERED NURSE: Current RN licensure in Virginia or eligible (NURSING ONLY)
BEHAVIORAL HEALTH: Current LCSW licensure in Virginia required.
CLINICAL SOCIAL WORK: N/A
Experience REQUIRED:
Minimum of five (5) years of clinical experience
Experience PREFERRED:
Previous mentoring and/or clinical leadership experience
Education/training REQUIRED:
REGISTERED NURSE: Baccalaureate Degree in Nursing from an accredited School of Nursing or
BEHAVIORAL HEALTH/CLINICAL SOCIAL WORK: Master’s Degree in Social Work from a Council on Social Work Education (CSWE) accredited program
Education/training PREFERRED:
REGISTERED NURSE: Master’s Degree in Nursing from an accredited School of Nursing preferred or
BEHAVIORAL HEALTH/CLINICAL SOCIAL WORK: Licensed Clinical Social Worker (LCSW) in Virginia preferred
Independent action(s) required:
Clinical decision-making in collaboration with physicians and daily prioritization of activities.
Supervisory responsibilities (if applicable):
Additional position requirements:
Days, weekend rotation
Age Specific groups served:
Physical Requirements (includes use of assistance devices as appropriate):
Activities - Prolonged standing
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
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