About The Position

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.

Requirements

  • REGISTERED NURSE: Current RN licensure in Virginia or eligible (NURSING ONLY)
  • BEHAVIORAL HEALTH: Current LCSW licensure in Virginia required.
  • Minimum of five (5) years of clinical experience
  • 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
  • Clinical decision-making in collaboration with physicians and daily prioritization of activities.

Nice To Haves

  • Previous mentoring and/or clinical leadership experience
  • 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

Responsibilities

  • 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.
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