RN Case Manager

5 days ago


Alexandria, Virginia, United States A-Line Staffing Solutions Full time
Job Summary

A-Line Staffing Solutions is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in ensuring optimal patient outcomes and facilitating seamless care transitions.

Key Responsibilities
  • Medical Necessity Determination: Assess patient needs and determine medical necessity for services.
  • Care Coordination: Facilitate communication between healthcare providers, patients, and families to ensure comprehensive care.
  • Quality Improvement: Identify opportunities for quality improvement and implement changes to enhance patient care.
  • Patient Education: Educate patients and families on disease management, treatment options, and health promotion.
  • Cost Optimization: Collaborate with healthcare providers to optimize patient care while minimizing costs.
  • Policy Implementation: Develop and implement policies to ensure compliance with regulatory requirements and organizational standards.
Requirements
  • RN with current unrestricted Virginia state licensure required.
  • 3 years clinical experience in med surg or behavioral health.
  • Ability to multitask, prioritize, and adapt to a fast-paced environment.
  • Proficiency with computer skills, including navigating multiple systems and keyboarding.
  • Effective communication skills, both verbal and written.
Preferred Qualifications
  • Managed Care experience.
  • Case Management experience in an integrated model.
  • 5 years clinical practice experience.
  • Bilingual.


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