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 the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated. Actively participates in clinical performance improvement activities.
Inova Cares Clinic for Community Bridging (ICCCB) is under Inova's Community Health Services Division and is a part of Inova's commitment to support care to patients regardless of their ability to pay. ICCCB is a comprehensive program designed to support medically vulnerable patients with a recent Inova hospitalization or ED visit to ensure quality transitions of care outcomes and support the ambulatory physician community in managing this challenging population after discharge. The ICCCB clinics are post-acute clinics that provide immediate attention to medically complex patients who require intensive follow-up care. Patients are provided appointments to ensure that all hospital discharge instructions, medication reconciliation and symptoms have been stabilized and resolved prior to transitioning back to their PCP or to a long-term medical home. Clinic services also include disease and medication education, prescription assistance, case management support and community resource connection. This position will serve the Leesburg clinic location and is a Monday-Friday position with Inova recognized holidays off.
Job Responsibilities
Requirements: