Staff Position

Registered Nurse (RN) - Case Management
Loudoun Hospital
Leesburg, VA
Days

$38-67/hour
Posted 6 days ago

Overview

  • Start DateASAP
  • ShiftDays
  • Facility Information
    Not-For-Profit HospitalShort Term Acute CareTeaching Institution189 bedsMagnetEpic Systems CorporationNurse Residency Programs

Pay

Estimated pay
$38-67/hour

Qualifications

The employer will review your Vivian profile and compare it against the job qualifications listed below.
Required
    Work Experience
  • Registered Nurse (1 year)
    Other
  • Eligible to work in US
  • Bachelor of Science in Nursing

Description


Job Description

The RN Case Manager 1 provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. Provides coordination of services and acts as key liaison between patients, families and interdisciplinary healthcare members. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities. Responsible for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities.

Job Responsibilities

- Collects delay and other data for specific performance and/or outcome indicators. 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. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning).
- Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization.
- Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans.
- Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients.
- Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.

Requirements
- Bachelors Degree in Nursing (BSN). ADN candidates must obtain BSN within five years of hire date.
- Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse (RN).
- One year of Case Management and/or Clinical Care experience. Case Management experience highly preferred.
- Previous Case Management experience highly preferred.
- Basic Life Support (BLS) through the American Heart Association prior to start date.
Risha BSN, RN
Risha BSN, RN
Inova Job ID #661678. Posted job title: registered nurse case manager (rn)

Facility

Loudoun Hospital

4.3rating(15 reviews)

2 nurses recommend working with Loudoun Hospital

5.0rating
Anonymous
Anonymous
EMT / ER Technician (Allied Health Professional)
Contract Position
Review of Loudoun Hospital on Aug 16, 2024
View all reviews
Loudoun Hospital
DetailsVerification data is contributed by healthcare professionals like you, who leave reviews on Vivian.
  • Not-For-Profit Hospital
  • Short Term Acute Care
  • Teaching Institution
  • 189 beds
  • Magnet
  • Epic Systems Corporation
  • Nurse Residency Programs
ADDRESS44045 Riverside PkwyLeesburg, VA 20176
View more details

Employer

Inova Health System

3.7rating(3 reviews)
Compensation
3.7rating
Culture
3.3rating
Work Environment
3.3rating
5.0rating
Anonymous
Anonymous
Post Partum (RN)
Review of Inova Health System on Dec 3, 2023
View all reviews
Response timewithin a day
Staff jobs$16–115/hour
Local contracts$16–115/hour
Per Diem / PRN roles$16–115/hour
Jobs on Vivian407
View more details

Leesburg, VA

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