Registered Nurse Case Manager

3 days ago


Springfield, Illinois, United States Inova Health System Full time
Job Title: Registered Nurse Case Manager 1

The Inova Health System is seeking a skilled Registered Nurse Case Manager 1 to provide discharge planning and continuity of care for assigned patients in acute and post-acute settings.

Key Responsibilities:
  • Provides coordination of services and acts as a 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.
Requirements:
  • Requires Bachelor of Science in Nursing.
  • Minimum of one year Case Management experience and/or Clinical Care experience.
  • Basic Life Support through the American Heart Association.
  • Must be licensed in the Commonwealth of Virginia to practice as a Registered Nurse (RN).
Work Environment:

Monday-Friday 8:30am-5:00pm with every 5th weekend. Holiday requirement of 2 holidays per year. Positions available for a variety of specialty areas.

As a Registered Nurse Case Manager 1, you will have the opportunity to work closely with patients, families, and healthcare teams to manage and coordinate all areas of patient care. You will be responsible for providing discharge planning and continuity of care for assigned patients in acute and post-acute settings.

You will use your skills and experience to determine the medical necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. You will also be responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated.

As a member of the Inova Health System team, you will have the opportunity to participate in clinical performance improvement activities and contribute to the success of the organization.

We are seeking a skilled and experienced Registered Nurse Case Manager 1 to join our team. If you are a motivated and compassionate individual with a passion for delivering high-quality patient care, we encourage you to apply for this exciting opportunity.


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