Case Manager Registered Nurse RN

Location: Richmond

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Virginia Quality Care Partners, you'll have all the staffing support, technology and resources you need to deliver safe, high-quality care-so you can focus on what you do best.

Job Summary and Qualifications

The VCP Case Manager will play a critical role in developing and leading the execution of the patient population case management strategy. Responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, the case manager will identify, assess, plan, implement and evaluate the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing.

Services resulting in improved patient experience and reduced cost outcomes for the overall patient attributed population.

Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area. Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measurable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network.

Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients. If you are an interested in being part of a forward-thinking team working at the forefront of payment reform, then apply today!

* Position is primarily remote work but candidate must live within the Richmond, VA market.

* Identify attributed patients who benefit from care coordination and work with practices to effectively manage the high risk, high cost, and high utilizers.

* Develop and maintain community and payer resource directories.

* Assist with referring to appropriate ancillary services such as CM/DM programs, BH resources, pharmacist support, and other resources as identified.

* Assist and perform transitions of care and complex care management for the identified population.

* Outcomes to include reduced emergency visits and inpatient admissions.

* Provide patients appropriate resources to help overcome barriers to care.

* Identify and address issues, determine reasons and take action to resolve, and escalates appropriately; working with the quality manager as needed for patients with avoidable emergency room and inpatient stays and high utilization.

* Communicates clearly, regularly and effectively with all levels and functions to create an atmosphere of mutual respect, openness and encouragement.

* Maintains the confidentiality of the meetings attended.

* Builds rapport and establishes credibility with the patients, practices and providers.

What qualifications you will need:

* Registered Nurse

* Case management certification preferred

* Previous case management and utilization review experience preferred

Benefits

Virginia Quality Care Partners, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

* Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

* Wellbeing support, including free counseling and referral services

* Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

* Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

* Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

* Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note:

Eligibility for benefits may vary by location

Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area. Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measurable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are…