Social Worker Case Mgr I
- Employer
- Inova Health System
- Location
- Alexandria, VA
- Closing date
- Mar 7, 2021
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- Industry
- Healthcare
- Function
- Social Worker, Counselor and Therapist
- Hours
- Full Time
- Career Level
- Experienced (Non-Manager)
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Job DescriptionWorks with multi-disciplinary team on implementing and evaluating patient care plans and progression throughout the continuum. Works collaboratively in communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely and appropriate patient management. Uses utilization management techniques to determine the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities. Responsible for timely regulatory compliance and facilitation of precertification and payor authorization processes, when indicated. Actively participates in clinical performance improvement activities. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Understands pre-acute and post-acute resources. Provides coordination of services and acts as key liaison between patient, the patient's family and the interdisciplinary healthcare members.RequirementsRegistered Nurse with clinical and case management experience in an acute and post-acute health care environment. 1- 2 years in clinical care or clinical case management. 1 - 2 years in acute and post-acute care case management in a healthcare environment. A Graduate of an accredited school of nursing or university. BSN/MSN.
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