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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 RN Case Manager, 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.
  • 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 health care team to achieve positive outcomes.
  • Identify, track, and record Alternative Care Days (ACDs). 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. We are the only Hospital in Northern Virginia to receive Joint Commission designation as a Top Performer on Key Quality measures for multiple consecutive years.

Our Culture

At Reston Hospital Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

About HCA Healthcare

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.