Registered Nurse Case Manager 1

2 weeks ago

Falls Church, United States Inova Health System Full time

The RN Case Manager 1 provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities.

Job Responsibilities


  • Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning).
  • Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization.
  • Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans.
  • Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients.
  • Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.

    Requirements

    • Bachelors Degree in Nursing (BSN). ADN candidates must obtain BSN within two years of hire date.
    • Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse (RN).
    • One year of Case Management and/or Clinical Care experience
    • Basic Life Support (BLS) through the American Heart Association prior to start date.

  • Registered Nurse Case Manager 1

    2 weeks ago

    Falls Church, United States Inova Health System Full time

    The RN Case Manager 1 provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and...

  • RN Case Manager-Home Health Care

    4 weeks ago

    Falls Church, United States American Care Partners Full time

    Job DescriptionJob DescriptionRN Case Manager-Home health careAmerican Care Partners (ACP), a State Licensed, Medicare & Medicaid certified, and Joint commission (JACHO) Accredited Home Health Care Agency serving Falls Church Fairfax, and all five counties in Northern Virginia area for personal care services, Private Duty In-Home Nursing Services, and...

  • Registered Nurse

    4 weeks ago

    Falls Church, United States Inova Full time

    The Level 1 Trauma ED at  is looking for an experienced RN leader for a Full Time day shift Unit Supervisor position. This Emergency Unit is Northern Virginia’s only Level 1 Trauma Center! This position is eligible for a $20K sign on bonus! We have great benefits!  Sign-on and Relocation Bonus Tuition Reimbursement Loan...

  • Housing Case Manager

    3 weeks ago

    Falls Church, United States New Hope Housing Inc Full time

    Job DescriptionJob DescriptionSummary of Position:The Housing Case Manager is a full-time exempt position, directly supervised by the Senior Case Manager. As part of the case management team, assists guests in identifying housing needs and housing barriers. Educate and motivate guests to address future planning and goal setting to enhance the guest’s...

  • Housing Case Manager

    5 days ago

    Falls Church, United States New Hope Housing Full time

    Summary of Position: The Housing Case Manager is a full-time exempt position, directly supervised by the Senior Case Manager. As part of the case management team, assists guests in identifying housing needs and housing barriers. Educate and motivate guests to address future planning and goal setting to enhance the guest’s abilities to be successful in an...

  • Housing Case Manager

    2 weeks ago

    Falls Church, United States New Hope Housing Inc Full time

    Job DescriptionJob DescriptionSummary of Position:The Housing Case Manager is a full-time exempt position, directly supervised by the Senior Case Manager. As part of the case management team, assists guests in identifying housing needs and housing barriers. Educate and motivate guests to address future planning and goal setting to enhance the guest’s...

  • Case Manager

    2 weeks ago

    Falls Church, United States New Hope Housing Inc Full time

    Job DescriptionJob DescriptionPosition: Arlington & Alexandria City PSH Case Manager Reports to: Director of PSH for Arlington County and Alexandria City Supervises: N/ASummary of Position: The Arlington & Alexandria City PSH Case Manager is a full-time exempt position, directly supervised by the Director of PSH for Arlington County and Alexandria City. This...

  • Case Manager

    2 weeks ago

    Falls Church, United States New Hope Housing Full time

    Position: Arlington & Alexandria City PSH Case Manager Reports to: Director of PSH for Arlington County and Alexandria City Supervises: N/A Summary of Position: The Arlington & Alexandria City PSH Case Manager is a full-time exempt position, directly supervised by the Director of PSH for Arlington County and Alexandria City. This position supports, when...

  • Case Manager

    1 month ago

    Falls Church, United States New Hope Housing Inc Full time

    **Position**: Arlington & Alexandria City PSH Case Manager **Reports to**: Director of PSH for Arlington County and Alexandria City **Supervises**: N/A **Summary of Position**: Some of the essential responsibilities of the this position are, but are not limited to: - Participating in team meetings with other Housing Case Managers to coordinate care; -...

  • Travel Nurse

    2 weeks ago

    Niagara Falls, United States Medical Talent Full time

    Medical Talent is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Niagara Falls, NY. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2252.39 / Week About Medical Talent:Medical Talent is a distinguished company that prides itself on being Veteran-owned and Joint Commission certified. Since its...

  • Travel Nurse

    3 days ago

    Niagara Falls, United States Medical Talent Full time

    Medical Talent is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Niagara Falls, NY. Shift: 5x8 hr days Start Date: 05/27/2024 Duration: 13 weeks Pay: $2276.78 / Week About Medical Talent:Medical Talent is a distinguished company that prides itself on being Veteran-owned and Joint Commission certified. Since its...

  • Case Manager-medical Office

    4 weeks ago

    Falls Church, United States Ascent Integrated Medicine Full time

    GET WHAT YOU REALLY WANT IN A CAREER OPPORTUNITY! As a Case manger, you will be a vital part of the Team and work collaboratively with the Clinicians. You will focus on understanding the needs and wants of a patient, helping them overcome obstacles and challenges, both financial and scheduling, while influencing them to do what is in their best interest to...

  • FT and PT Case Manager, Outreach

    2 weeks ago

    Falls Church, United States New Hope Housing Full time

    Position: Case Manager, Outreach Reports to: Case Manager, Senior Supervises: N/A Summary of Position: The Homeless Healthcare Program (HHP) Outreach Case Manager seeks out and engages “unsheltered” or “chronically” homeless individuals in assigned County, in order to provide and link them to support services (medical, mental health, etc.) and...

  • Kennedy Shelter and Baileys Shelter Case Manager, Senior

    1 week ago

    Falls Church, United States New Hope Housing Full time

    Job Description Job Description Position: Case Manager, Senior Reports to: Director, Programs Supervises: Assigned Case Managers Summary of Position: The Senior Case Manager is a full-time exempt position, directly supervised by the assigned Director of Programs. The Senior Case Manager coordinates and provides case management for guests. Under general...

  • Registered Nurse Surgical Oncology Navigator

    1 month ago

    Falls Church, United States Inova Health System Full time

    The Oncology Nurse Navigator provides safe therapeutic care in a holistic and systematic way across the health system and continuum of care and in the community for past, current and potential cancer patients. Guides patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the...

  • Registered Nurse Surgical Oncology Navigator

    4 days ago

    Falls Church, United States Inova Health System Full time

    The Oncology Nurse Navigator provides safe therapeutic care in a holistic and systematic way across the health system and continuum of care and in the community for past, current and potential cancer patients. Guides patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the...

  • Kennedy Shelter and Baileys Shelter Case Manager, Senior

    2 weeks ago

    Falls Church, United States New Hope Housing Full time

    Position: Case Manager, Senior Reports to: Director, Programs Supervises: Assigned Case Managers Summary of Position: The Senior Case Manager is a full-time exempt position, directly supervised by the assigned Director of Programs. The Senior Case Manager coordinates and provides case management for guests. Under general direction from the Director, the...

  • Registered Nurse

    1 day ago

    Falls Church, United States Inova Health System Full time

    Inova Fairfax Hospital is currently seeking a passionate and dedicated Registered Nurse to join our Acute Psychiatry Unit on the day shift. This is a full-time position with a 3 x 12-hour shift schedule (7:00 pm to 7:00 am).Type: Full-TimeShift: Day Shift (3 x 12 hour shifts, 7:00 am to 7:00 pm)Inova Fairfax Hospital is proud to be recognized as the #1...

  • Day Shift Registered Nurse

    4 weeks ago

    Falls Church, United States Inova Health System Full time

    Inova Fairfax Hospital is currently seeking a passionate and dedicated Registered Nurse Fellow to join our Adolescent Psychiatry Unit on the day shift. This is a full-time position with a 3 x 12-hour shift schedule (7:00 am to 7:30 pm). We welcome acute care Registered Nurses who are enthusiastic about working with the psychiatric patient population and are...

  • Certified Registered Nurse Anesthetist

    1 week ago

    Falls Church, United States AMN Healthcare Full time

    Job Details This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need. Details & requirements for this opportunity: Schedule: Monday-Friday,3x12 hour overnight shifts per week Plus one weekend shift per month Job Setting: Hospital Types of Cases: Cardiac, transplants, chronic pain,...