Case Management Supervisor

4 weeks ago


Charlottesville, Virginia, United States Commonwealth of Virginia Full time
Job Summary

We are seeking a highly skilled and experienced Case Management Supervisor to join our team at the Commonwealth of Virginia. As a key member of our healthcare team, you will be responsible for providing first-line supervision of RN Case Managers and support staff within the inpatient setting.

Key Responsibilities
  • Perform case manager duties in accordance with established policies, procedures, and standards of practice.
  • Conduct initial assessments on all patients and begin the discharge process from day one of their stay.
  • Communicate with payers to facilitate the patient's effective and efficient movement through the hospital system.
  • Complete level of care assessments to ensure patients are receiving the appropriate level of care and to ensure that the patient transitions through their stay without barriers or delays in care delivery.
  • Work closely with admitting physicians to ensure appropriate documentation of clinical information necessary to support or determine alternative levels of care.
  • Coordinate discharges home and facilitate transfers to external placement facilities.
  • Maintain expert knowledge of Interqual Level of Care criteria.
  • Teach, coach, and develop others.
  • Maintain a positive and professional work environment.
  • Be accountable for outcomes.
  • Conduct comprehensive case management assessments of each patient within one day of admission.
  • Identify patient readiness to discharge based on outcomes.
  • Complete continued stay reviews each day to ensure patients are progressing towards discharge without barriers.
  • Review all regulatory requirements to ensure high-quality, safe, and cost-effective care.
  • Identify patients with high-risk concerns for presentation at Clinical High Risk meetings based on experience, high-risk reports, or denials.
  • Evaluate and measure outcomes to continuously improve practice and enhance outcomes.
Requirements
  • Bachelor's of Science in Nursing required.
  • 5 years of clinical nursing experience, including 3 years of case management experience, required.
  • Licensed to practice as a Registered Nurse in the Commonwealth of Virginia.
  • American Case Management Association or Commission for Case Manager certification required.
Physical Demands

The job requires standing for prolonged periods, frequent walking, bending/stooping. Proficient communicative, auditory, and visual skills; attention to detail and ability to write legibly; ability to lift/push/pull 20-50lbs. May be exposed to chemicals, blood/body fluids, and infectious disease.


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