RN Case Manager

Virginia Hospital Center
Arlington, VA
Jun 07, 2021
Jun 19, 2021
Full Time
Job Detail: Keywords: RN CASE MANAGER, MSW CASE MANAGER, NURSE CASE MANAGER Overview: RN Case ManagerWE ARE HIRING! Looking for a new opportunity? Virginia Hospital Center is the organization for you. We are looking for a dedicated RN Case Manager who is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated continuum of care in accordance with JCAHO and hospital guidelines and serves as liaison for the interdisciplinary team, the patient, and family to ensure a timely, smooth, and clinically appropriate care planning process. The RN Case Manager also maintains communications with the payor at the time of admission and throughout the hospitalization to ensure necessary approvals for care and clarification of benefits. They facilitate retrospective reviews and approvals for care whenever necessary, and they implement and coordinate discharge plans utilizing available and appropriate community resources. As a member of the Mayo Clinic Network and a Magnet Hospital, we are dedicated to providing a safe and healthy environment for our patients and employees. Come join a hospital that dedicated to you and your career. Schedule: Tuesday-SaturdayVirginia Hospital Center (VHC) is a nationally recognized Hospital and teaching facility that has been delivering the highest quality care to the Washington, DC metropolitan area for over 70 years. - Earning the 2016 Top Hospital award from the Leapfrog Group for excellence in hospital safety and quality for the second year in a row, VHC consistently achieves the highest levels of patient satisfaction. - Located in Arlington, VA, VHC is a proud member of the Mayo Clinic Care Network (a national network of independent healthcare organizations). - VHC is the largest Hospital in the region that was named a Center for Medicare & Medicaid Services Four-Star Hospital, and is also designated as a Magnet hospital by the American Nurses Credentialing Center. - In 2016, VHC earned the Distinguished Hospital Clinical Excellence Award and the Outstanding Patient Experience Award from HealthGrades. - VHC is a 394-bed, all-private room Hospital that strives to provide continued excellence for our employees and patients. Qualifications: Graduate of an accredited school of Nursing or Equivalent experience required.Five years experience in the Healthcare Field preferred.Case Management experience preferred. Responsibilities: Performs case management assessment of assigned patient within one business day of admission.Develops timely and comprehensive discharge plans.Interacts with attending physician regarding inappropriate hospital utilization and follows through with action according to the Quality Resource Management.Cooperates with external reviewing/paying agencies (including the Medical Society of Virginia Review Organization, State Medicaid Agency, Medicare Fiscal Intermediary, and other third party payors as designated by contractual agreement) regarding the review of special cases formedical necessity and quality of care.Daily interaction with insurance verification and admitting. Benefits: Pay & Benefits:Commensurate with experience.In addition to salary, the benefit package includes paid major holidays, vacation/sick time, health & dental insurance, and 401(k).*MAF*

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