Staff Position

Level I Registered Nurse (RN) - Case Management
Inova Alexandria Hospital
Alexandria, VA
Days

$38-67/hour
Posted 5 days ago

Overview

  • Start DateASAP
  • ShiftDays
  • Facility Information
    Not-For-Profit HospitalShort Term Acute CareTeaching Institution303 bedsEpic 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


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.
- Discusses payer criteria and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed. Applies approved clinical criteria to monitor appropriateness of admissions, continued stays or post-acute setting appropriateness and documents findings based on department standards.
- Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression.
- 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. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team.
- Performs other duties as assigned.

Additional Requirements

Certification - Basic Life SupportLicensure - Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license Experience - 1 year of case management and/or clinical care experienceEducation - Bachelor's Degree Nursing or Associate's Degree. If RN has an Associate's Degree, within 2 years of date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date.
Inova Job ID #662831. Posted job title: rn case manager i

Facility

Inova Alexandria Hospital

4.1rating(35 reviews)
4.0rating

Pros

i did a travel assignment at the inova alexandria stand alone ED for 5months. the unit was very traveler friendly, staff was incredibly kind and accepting. EMTs on the unit were very helpful in EKGs, starting PIVs, managing bipap and vents.

Cons

no respiratory therapy on site. the manager was very nit picky which was my biggest con

Anonymous
Anonymous
ED - Emergency Department (RN)
Review of Inova Alexandria Hospital on Nov 13, 2024
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Inova Alexandria 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
  • 303 beds
  • Epic Systems Corporation
  • Nurse Residency Programs
ADDRESS4320 Seminary RdAlexandria, VA 22304
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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 Vivian402
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About Alexandria, VA

Cost of Living
  • The cost of living in Alexandria, VA is higher than the national average.
  • Wages generally match up with the higher cost of living, especially in healthcare professions like nursing.
Weather
  • The average high in summer is around 87°F, and the average low in winter is around 28°F.
Furnished Housing
  • Short term rentals are available in Alexandria, VA, and they are relatively easy to find due to the city's popularity and the presence of various real estate agencies and online platforms.
Transportation
  • Alexandria, VA is relatively car-friendly with well-maintained roads and highways.
  • Public transportation options include buses and the Metrorail, which provides easy access to Washington, D.C. and surrounding areas.
Demographics
  • Alexandria, VA is a diverse city with a wide age range.
  • Common health issues may include respiratory conditions due to air pollution.
  • There is a significant population of travel nurses due to the city's proximity to major healthcare facilities and the demand for healthcare professionals.
Things to Do
  • Alexandria, VA offers a vibrant dining scene with numerous restaurants offering diverse cuisines.
  • The city also has a thriving arts and music community, with various art shows, live music performances, and theater events.
  • Outdoor enthusiasts can enjoy the Potomac River and its activities, while sports fans can catch a Washington Nationals game at Nationals Park.
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