About Job
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
Days
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Professional Field


