Staff Position

Registered Nurse (RN) - Case Management
Inova Fair Oaks Hospital
Fairfax, VA
Days

$38-67/hour
Posted 10 days ago

Overview

  • Start DateASAP
  • ShiftDays
  • Facility Information
    1:2 Patient ratioNot-For-Profit HospitalShort Term Acute CareTeaching Institution174 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


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.
Requirements:
- Bachelor of Science in Nursing (BSN). ADN candidates must obtain BSN within two years of hire date.
- Licensed or eligible for licensure in the Commonwealth Virginia as a Registered Nurse.
- One year of Case Management and/or clinical care experience.
- Basic Life Support (BLS) through the American Heart Association
Brandon Hughes
Brandon Hughes
Inova Job ID #655845. Posted job title: registered nurse case manager 1 (rn)

Facility

Inova Fair Oaks Hospital

4.7rating(16 reviews)
Compensation
4.1rating
Culture
4.5rating
Work Environment
4.5rating
5.0rating
Anonymous
Anonymous
ICU - Intensive Care Unit (RN)
Review of Inova Fair Oaks Hospital on Jun 10, 2024
View all reviews
Inova Fair Oaks Hospital
DetailsVerification data is contributed by healthcare professionals like you, who leave reviews on Vivian.
  • 1:2 Patient ratioVerified by 23 Vivian users
  • Not-For-Profit Hospital
  • Short Term Acute Care
  • Teaching Institution
  • 174 beds
  • Magnet
  • Epic Systems Corporation
  • Nurse Residency Programs
ADDRESS3600 Joseph Siewick DrFairfax, VA 22033
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 an hour
Staff jobs$17–115/hour
Local contracts$17–115/hour
Per Diem / PRN roles$17–115/hour
Jobs on Vivian440
View more details

About Fairfax, VA

Cost of Living
  • Fairfax's cost of living is higher than the national average, primarily due to housing costs.
  • Wages generally match up with the higher cost of living.
Weather
  • In summer, average highs are around 86°F, and average lows are around 66°F.
  • In winter, average highs are around 44°F, and average lows are around 26°F.
Furnished Housing
  • Short term rentals are available but may be limited.
  • It's recommended to start the search early to find suitable options.
Transportation
  • Fairfax is car-friendly with well-maintained roads and ample parking.
  • Public transportation options include buses and the Metrorail for commuting to nearby areas.
Demographics
  • Fairfax is a diverse city with a wide age range.
  • Common health issues may include allergies due to seasonal pollen.
  • There is a sizable population of travel nurses in the area.
Things to Do
  • Fairfax offers a variety of restaurants with diverse cuisines, art galleries, live music venues, and sports facilities.
  • Outdoor enthusiasts can enjoy parks, hiking trails, and nearby recreational areas.
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