Registered Nurse; RN Case Manager

Job Description

Inova Fair Oaks Hospital is looking for a dedicated Registered Nurse Case Manager to join the Case Management Team. This role will be Part‑Time Day shift, 24 hours per week, Monday – Friday day shift schedule with rotating weekends and holidays.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Inova Fair Oaks is a top‑ranked 174‑bed acute care community hospital serving the rapidly growing suburbs of Northern Virginia. Inova Fair Oaks Hospital is committed to providing safe care, excellent service and is continuously striving to improve each patient’s unique experience.

That’s why every patient we service is a VIP — a Very Important Patient.

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 timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated.

Actively participates in clinical performance improvement activities.

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement:
  Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules.

• 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…