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Nurse Case Manager

2 months ago

Reston, Virginia, United States Inova Health System Full time
Job Title: Registered Nurse Case Manager 1 (RN) - Juniper Clinic

Inova Health System is seeking a skilled Registered Nurse Case Manager 1 (RN) to join our team at the Juniper Clinic. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and ensuring seamless transitions between healthcare settings.

Job Summary:

The Registered Nurse Case Manager 1 (RN) is responsible for coordinating patient care and services to ensure optimal health outcomes. This includes:

  • Providing discharge planning and continuity of care for assigned patients in acute and post-acute settings
  • Coordinating services and acting as a key liaison between patients, families, and interdisciplinary healthcare team members
  • Using utilization management techniques to determine medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities
  • Ensuring timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated
  • Participating in clinical performance improvement activities and collecting data for specific performance and/or outcome indicators
Responsibilities:

The Registered Nurse Case Manager 1 (RN) will be responsible for:

  • Collecting and analyzing data to identify at-risk populations and referring cases as needed
  • Participating in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families, and interdisciplinary healthcare team members
  • Communicating routinely with patients, families, interdisciplinary healthcare team members, and other appropriate parties regarding the status of patients' care plans and progress toward treatment goals
  • Ensuring that all elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team
  • Collaborating with the interdisciplinary healthcare team, patients, and families in the assessment and coordination of discharge planning needs, delivery of post-discharge services, and transition of patients from hospitals to the discharge setting
Requirements:

To be successful in this role, you will need:

  • Bachelor of Science in Nursing
  • Minimum of one year Case Management experience and/or Clinical Care experience

Inova Health System is an equal opportunity employer and welcomes applications from diverse candidates. If you are a motivated and compassionate healthcare professional looking to make a difference in the lives of our patients, we encourage you to apply for this exciting opportunity.