Clinical Care Coordinator
3 weeks ago
Inova Health System is seeking a skilled Registered Nurse to fill a Case Management position in a dynamic healthcare environment.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- Shift: days
- Employment Type: Staff
Job Responsibilities
- Provides discharge planning and continuity of care for assigned patients in acute and post-acute settings.
- Coordinates services and acts as a liaison between patients, families, and interdisciplinary healthcare members.
- Uses utilization management techniques to determine the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities.
- Responsible for timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated.
- Participates in clinical performance improvement activities.
Requirements
- Bachelor's Degree in Nursing (BSN).
- One year of Case Management and/or Clinical Care experience.
- Previous Case Management experience highly preferred.
Key Responsibilities:
- Collects delay and other data for specific performance and/or outcome indicators.
- Assists in the collection and reporting of resource and financial indicators.
- Collects, analyzes, and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team.
- Documents key clinical path variances and outcomes.
Benefits:
- Opportunity to work in a dynamic healthcare environment.
- Collaborative team environment.
- Professional growth and development opportunities.
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