RN Case Manager I

Full Time
Alexandria, VA
Posted
Job description

Inova Cares Clinic for Community Bridging (ICCCB) was developed to bridge gaps in care that patients experience as they transfer across care delivery settings between illness and recovery. The service focuses on transitional medical care and community collaboration in order to improve health outcomes of patients at the highest risk who lack access to needed resources. ICCCB has locations in Alexandria, Fairfax and Leesburg. The services offered support patients being discharged from an Inova hospital or Inova emergency room who either do not have a medical home or cannot get an appointment with their Primary Care Provider (PCP) within 72 hours following a hospital admission. Patients are typically followed by a hospitalist or nurse practitioner for one to three visits, while the patient and the care team work together to establish a permanent medical home in the community for the patient or transition the patient back to their PCP. Care includes medication reconciliation, medical management and anti-coagulation management if needed as well as referrals to assist with social determinants of health. ICCCB is currently seeking a RN Case Manager to join the Alexandria team.

Requirements

  • Education: BSN
  • Experience: 1 year of case management or clinical experience
  • License: Active RN license in VA
  • Certification: BLS through the American Heart Association

What We Have to Offer YOU!

Benefits and Perks!

  • Tuition Assistance: Tuition reimbursement up to a maximum assistance of $5,250
  • Student Loan Assistance: Monthly payment toward team member’s outstanding student loan debt
  • Paid Parental Leave: Provide up to four weeks 100% pay for team members to care for and bond with a newborn or newly adopted child
  • Competitive salary
  • Medical, Dental, Vision & Savings and Spending Accounts (HSA/FSA)
  • Life Insurance, Short/Long Term Disability
  • Retirement Savings Plan: Inova makes a matching contribution on the first 5% of pay you contribute
  • Time Away Programs: You earn or “accrue” PTO on an hourly basis during the calendar year, beginning with your first hour of work.
  • Supplemental Benefits: Auto/Home Insurance discounts, Pet Insurance & Pet Care Discount Program, Identity Theft Protection, Legal Services
  • Additional Benefits, Perks, & Discounts: Commuter Benefits, Back-up Child and Elder Care, Adoption Assistance Plan, Credit Union, Team Member Purchasing Program


Job Responsibilities

As a Registered Nurse (RN) Case Manager I, you will actively participate in clinical performance improvement activities and provide discharge planning and continuity of care for assigned patients in acute and post-acute settings.

  • Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team.
  • Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
  • Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members.
  • Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
  • Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed.
  • Identifies at risk populations by using approved screening tools and following established reporting procedures.
  • Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members.

Our commitment to keeping patient’s safe means there’s no safer place for you to work. We safeguard our patients, by safeguarding our team members.

Inova is well stocked with the best and latest PPE

  • Masks are provided to patients entering our buildings, and offered free to visitors
  • Covid-19 patients are isolated in dedicated areas
  • Inova operates curbside Covid-19 testing sites that are far removed from the main facilities
  • All team members are trained in the latest screening guidelines

Inova is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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