RN Case Manager

2 months ago


Reston, Virginia, United States Reston Hospital Center Full time
About the Role

We are seeking a highly skilled RN Case Manager to join our team at Reston Hospital Center. As a key member of our healthcare team, you will play a critical role in ensuring the highest level of patient care and satisfaction.

Key Responsibilities
  • Apply the rules of Severity of Illness, Intensity of Service, and Discharge Screens/Indicators consistently in evaluating medical necessity.
  • Perform admission and concurrent review for all payers and maintain legible documentation as directed by the Utilization Management Plan.
  • Educate patients and families to the patient's needs post discharge and inform them of the alternatives available to meet those needs.
  • Refer patients who require extended care post discharge to long-term care facilities and arrange for their transfer.
  • Collaborate with community agencies to provide services to assist with housing, financial, transportation, psychosocial, educational, home health, and home medical equipment needs of patients/families post discharge.
  • Initiate patient/family conference with the healthcare team to achieve positive outcomes.
  • Identify, track, and record Alternative Care Days (ACDs) and intervene to prevent or decrease ACDs as appropriate.
About Us

Reston Hospital Center has provided quality healthcare services since 1986. We give patients access to trained physicians and advanced technology. Our 230+ bed hospital is one of the region's leading acute care facilities in Reston and the growing Northern Virginia region. We offer a full range of medical services, including 24-hour emergency care. Our hospital specializes in maternal/child health, surgical services on both an inpatient and extensive outpatient basis. We offer urological services including lithotripsy. Our cancer care offers state-of-the-art radiation therapy, rehabilitation therapy programs, and a wide array of diagnostic imaging capabilities. Reston Hospital Center is a certified Stroke Center, certified Total Joint Center, and the only accredited Chest Pain Center in Northern Virginia.

Our Commitment to Excellence

We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


  • RN Case Manager

    4 weeks ago


    Reston, Virginia, United States Reston Hospital Center Full time

    Unlock Your Potential in RN Case ManagementAt Reston Hospital Center, we're committed to delivering exceptional patient-centered care. As an RN Case Manager, you'll play a vital role in ensuring our patients receive the best possible outcomes.Key Responsibilities:Apply the principles of Severity of Illness, Intensity of Service, and Discharge...

  • RN Case Manager

    1 month ago


    Reston, Virginia, United States Reston Hospital Center Full time

    Unlock Your Potential in RN Case ManagementAt Reston Hospital Center, we're committed to delivering exceptional patient care and investing in the latest technology to support our nurses. If you're passionate about delivering patient-centered care, we invite you to apply for our RN Case Management position.Key Responsibilities:Evaluate medical necessity using...

  • RN Case Manager

    4 weeks ago


    Reston, Virginia, United States Reston Hospital Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Reston Hospital Center. As a RN Case Manager, you will play a critical role in ensuring the highest quality patient care and outcomes.Key ResponsibilitiesEvaluate medical necessity and develop effective care plans to ensure optimal patient outcomes.Collaborate with healthcare teams to...


  • Reston, Virginia, United States Marvel Consultants Full time

    Marvel Consultants Seeks Director of Case ManagementThe Director of Case Management will be responsible for implementing the case management program at the hospital level, ensuring the effective management of patient care and resources. This role will oversee the development and implementation of departmental policies, procedures, and standards.Requirements...


  • Reston, Virginia, United States TBG | The Bachrach Group Las Vegas Full time

    Lead Clinical Program DevelopmentThe Director of Case Management at TBG | The Bachrach Group Las Vegas plays a pivotal role in overseeing the entire case management process. This position requires effective patient care, adherence to professional standards, and optimization of resource utilization.Key Responsibilities:Program Development:Develop and...

  • RN Case Manager

    3 weeks ago


    Reston, Virginia, United States St. Peter's Health Partners Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Samaritan Hospital. As a key member of our healthcare team, you will play a vital role in ensuring the best possible outcomes for our patients.ResponsibilitiesCollaborate with the healthcare team to develop and implement effective care plans for patientsManage patient flow and optimize...


  • Reston, Virginia, United States Sciometrix Full time

    About SciometrixSciometrix is a pioneering digital health company that empowers healthcare providers with advanced technology and human expertise to revolutionize patient care. Our mission is to engage patients and deliver better outcomes through innovative telehealth solutions.What We OfferCutting-Edge Telehealth Technology: Leverage our proprietary...

  • Nurse Case Manager

    1 week ago


    Reston, Virginia, United States Inova Health System Full time

    Job Title: RN Case Manager 1Job Summary:Inova Health System is seeking a skilled RN Case Manager to provide discharge planning and continuity of care for assigned patients in acute and post-acute settings. As a key liaison between patients, families, and interdisciplinary healthcare team members, you will coordinate services and ensure timely regulatory...


  • Reston, Virginia, United States Marvel Consultants Full time

    Marvel Consultants is seeking a Director of Case Management to lead our team at a 200 bed campus.This role serves as an interdisciplinary team member to coordinate the delivery of healthcare services, resulting in quality outcomes for the hospital population and their families within the limits of available financial and social resources.Key...

  • Case Manager

    2 weeks ago


    Reston, Virginia, United States COPILOT Provider Support Services, Inc Full time

    Unlock Your Potential as a Case ManagerCopilot Provider Support Services, Inc. is seeking a highly skilled Case Manager to join our team. As a Case Manager, you will play a critical role in coordinating patient care and ensuring seamless communication between healthcare providers and insurance companies.Key Responsibilities:Assist Medical Directors (MDOs) in...

  • Case Manager

    4 weeks ago


    Reston, Virginia, United States The Wilhite Law Firm Full time

    Job Title: Pre-Litigation Case ManagerJob Type: Full-timeLocation: DenverAbout the Company:The Wilhite Law Firm is a leading personal injury law firm in Colorado, known for its commitment to excellence and client satisfaction.Responsibilities:Conduct thorough case reviews to identify potential issues and opportunities for resolutionInterview clients to...

  • Nurse Case Manager

    4 weeks ago


    Reston, Virginia, United States Inova Health System Full time

    Job Title: Case Management CoordinatorInova Health System is seeking a skilled Registered Nurse (RN) to fill the role of Case Management Coordinator. This position is responsible for ensuring compliance with established processes and procedures, as well as providing administrative support to the leadership team.Key Responsibilities:Ensure compliance with all...


  • Reston, Virginia, United States Incredible Health Full time

    Nurse Case Manager Job OpportunityIncredible Health is actively hiring a Nurse Case Manager (RN) in the Kentfield, CA area. We are seeking a skilled professional with experience in clinical pathway, navigation, or utilization review.Key Responsibilities:Conduct comprehensive patient assessments, including medical history, medication, treatment plans, and...


  • Reston, Virginia, United States CorVel Corporation Full time

    Job Title: Medical Case Manager IICorVel Corporation is seeking a highly skilled and compassionate Medical Case Manager II to join our team in the Northern Virginia area. As a Medical Case Manager II, you will play a critical role in facilitating the recovery of injured workers and their families.Key Responsibilities:Provide medical case management services...

  • Case Manager

    4 days ago


    Reston, Virginia, United States Austin Area Urban League Full time

    Job SummaryThe Austin Area Urban League is seeking a highly skilled Case Manager to provide career counseling, goal setting, and job search assistance to program clients. The ideal candidate will have a strong background in social work, career counseling, or a related field, and excellent communication and organizational skills.Key ResponsibilitiesProvide...


  • Reston, Virginia, United States Astiva Health, Inc Full time

    Job Title: Case Management CoordinatorTarget Compensation Range: $30.00/hour, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc. is a premier healthcare provider specializing in Medicare and HMO services. Our mission is to deliver comprehensive care tailored to the needs of our diverse community, prioritizing...

  • Outreach Case Manager

    3 weeks ago


    Reston, Virginia, United States FACETS Full time

    Job Title: Outreach Case ManagerFACETS is seeking a highly motivated and compassionate Outreach Case Manager to join our team. As a key member of our Preventing and Ending Homelessness for Adults Without Children Team, you will play a critical role in providing rapid re-housing services to unsheltered or chronically homeless individuals in Central Fairfax...

  • Case Manager LVN

    2 weeks ago


    Reston, Virginia, United States The Judge Group Full time

    The Judge Group is seeking a skilled Case Manager LVN to join our team in Orange, CAThis is a unique opportunity to work with a mission-driven organization that prioritizes high-quality performance, customer service, and member dignity. As a Case Manager LVN, you will be responsible for providing case management intervention on behalf of members with...


  • Reston, Virginia, United States The Wilhite Law Firm Full time

    Job Title: Pre-Litigation Case ManagerJob Type: Full-timeLocation: DenverAbout The Wilhite Law Firm: As a premier personal injury law firm in Colorado, we are dedicated to delivering exceptional client service and achieving outstanding case results. Our collaborative and dynamic environment fosters a positive and productive team atmosphere.Key...


  • Reston, Virginia, United States The Wilhite Law Firm Full time

    Job Title: Pre-Litigation Case ManagerJob Type: Full-timeLocation: DenverAbout The Wilhite Law Firm: As a premier personal injury law firm in Colorado, we strive to deliver exceptional client service and case results. Our collaborative environment fosters a positive and dynamic work setting, where motivated professionals can thrive.Key...