Inova Health Systems

Manager Case Management

Inova Health Systems$85K — $110K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Nursing (BSN) or Master's Degree in Social Work (MSW) required.
  • Three years of experience in case management or relevant nursing experience, including utilization review and discharge planning.
  • Two years of direct supervisor/manager experience required.
  • Virginia RN license required at start.
  • Basic Life Support (BLS) certification required upon start, along with case management certification or eligibility.

Responsibilities

  • Participate in interviewing and hiring processes for the case management team.
  • Ensure timely referrals to appropriate next levels of care and coordinate medical equipment for discharge planning.
  • Facilitate family meetings and collaborate with interdisciplinary teams on patient care.
  • Support proactive communication with families and healthcare teams regarding special patient needs.
  • Educate team members on documentation methods catering to patient understanding.
  • Assess needs of patients and families for continuing care plans in collaboration with physicians.
  • Supervise screening processes within 24 hours of patient admission for appropriate interventions.

Benefits

  • Medical, dental, and vision coverage with a wellness program.
  • Retirement plan with Inova matching first 5% of eligible contributions from day one.
  • Tuition assistance up to $5,250 per year and $10,000 for student loans.
  • Free mental health coaching or therapy sessions for team members and their families.
  • Flexible work schedules, paid time off, and paid parental leave.
Full Job Description
Job Description

Inova Fair Oaks Hospital is looking for a dedicated Experienced Manager Case Management to join the Case Management Team. This role will be Full-Time, Day shift: Monday - Friday with weekend rotations. This position has hybrid capabilities.

The Manager of Case Management participates in clinical performance improvement activities. Collaborates and communicates with interdisciplinary teams in all phases of discharge and care planning processes. Communicates with patients, family, medical staff, care team members, students, supervisors and outside contact. Evaluates the process of initiating plans for discharge and/or transitions of care and ongoing case management needs for patients and/or families is required. Supervises staff on the coordination and facilitation of patient care progression throughout the continuum of care.

Featured Benefits:
  • 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


Manager Case Management Responsibilities:
  • Participates in the interviewing/hiring process by reviewing job profiles, reviewing candidate applications/resumes, developing behavioral interview questions, conducting and evaluating interviews in a timely fashion and providing feedback/recommendations on hiring decisions.
  • Ensures referrals are initiated to appropriate next level of care (e.g. acute care, home health care, hospice, SNF, LTAC, clinics, TCM), in a timely manner, and coordinates ordering of medical equipment/supplies for safe discharge planning or ongoing care planning.
  • Works with staff to facilitate family meetings with all patients as requested by patient, family or healthcare teams. Leads collaboration with physician and members of the interdisciplinary teams to facilitate care for designated caseloads.
  • Supports the contact of families, physicians or other healthcare team members in anticipation of specials needs of the patients or families, in a timely manner, to facilitate effective treatment plans.
  • Provides educational materials and methods in support of team members' abilities to document appropriately to patients' level of understanding and motivation.
  • Ensures that patients/families are appropriately assessed for needs with a developed and individualized continuing care plan in collaboration with physician.
  • Educates staff on variances in patient responses and how to proactively adjust the care plan in coordination with the interdisciplinary team.
  • Supervises staff on the screening process with patients within 24 hours of admission for appropriate services and interventions
  • Evaluates the team members under their supervision assuring proper knowledge gaps are closed and provided necessary education to develop the case manager to the highest level possible.
  • Participates in evaluation of metrics and problem solves with the case managers under their supervision to achieve operational goals and metrics
  • Performs additional duties as assigned.


Minimum Requirements:
  • Education: Requires a Bachelor's Degree in Nursing (BSN) or Master's Degree in Social Work (MSW).
  • Experience: Three (3) years of experience in case management or relevant nursing experience to include utilization review, discharge planning, outcomes management, transitional planning, assessment, care planning and service implementation and two (2) years of direct supervisor/manager experience.
  • License: Must be licensed in the Commonwealth of Virginia to practice as a Registered Nurse (RN) upon start.
  • Certification: Basic Life Support (BLS) for Healthcare Provider certification from the American Heart Association required upon start.
    • Must have one of the following: Accredited Case Manager (ACM) or Certified Case Manager (CCM), or MCG/UR or, Certified Clinical Transplant Social Worker (CCTSW) pr N/ASW-CM (ASWCM) or licensed as a Social Worker (LCSW) in Virginia or eligible to practice on the Commonwealth of Virginia as a Social Worker within 12 months of hire.


Preferred Qualifications:
  • Three (3) + years of previous Inpatient (hospital) case management experience, case management discharge planning, and two (2) years supervisory/lead experience is highly preferred. Previous experience working through medically complex cases. Current holder of ACM or CCM, or LCSW is also highly preferred.


About Inova Health Systems

Inova Health Systems is a non-profit healthcare organization that provides medical services to patients in Virginia and the Washington, D.C. metropolitan area. The organization was founded in 1956 and is headquartered in Falls Church, Virginia. Inova Health Systems operates several hospitals and medical centers, as well as a network of primary care and specialty clinics. The organization is committed to providing high-quality, patient-centered care and is recognized for its expertise in areas such as cancer care, heart and vascular care, and women's health.
Learn more about Inova Health Systems
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18,000 employees
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