Case Management Program Manager (Registered Nurse OR Social Worker)

divh2Experienced Case Management Program Manager/h2pInova Mount Vernon Hospital is looking for a dedicated Experienced Case Management Program Manager to join the Case Management Team. This role will be Full-Time, Day shift: Monday - Friday 8:30 am - 5:00pm with occasional weekends and holiday rotation./ppInova 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./ppInova Mount Vernon Hospital is a 237-bed hospital offering patients convenience and state-of-the-art care in a community environment. Our hospital sits on 26 acres of beautifully landscaped open space, where patients can find moments of serenity in our specially designed gardens. Inova Mount Vernon Hospital recently opened the Veatch Family Emergency Department, a state-of-the-art facility featuring 35 all-private treatment rooms, new fast track rooms to treat less serious injuries, improved ambulance access, new cardiac emergency rooms and a specialized pediatric treatment area among its many amenities./ppstrongFeatured Benefits:/strong/pulliCommitted to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program./liliRetirement: Inova matches the first 5% of eligible contributions starting on your first day./liliTuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans./liliMental 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./liliWork/Life Balance: offering paid time off, paid parental leave, and flexible work schedules/li/ulpstrongCase Management Program Manager Responsibilities:/strong/pulliServes as resource for discharge planners (DCP) and the multi-disciplinary team through guidance, training, consultation, participating in Mulit-Disciplinary Rounds (MDRs), and managing assigned patients/liliEnsures continuity of care in the provision of comprehensive services. Reviews patient assessments and information, ensures appropriate referrals for Social Determinants of Health (SDOH) patient/family needs, and identifies at risk populations by using approved screening tools and following established reporting procedures/liliInitiates and facilitates referrals to specialists, clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated../liliCommunicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients care plans, progress toward treatment goals, identification of concerns/problems, problem solving and assisting with conflict resolution when necessary. Addresses/resolves system problems impeding diagnostic or treatment progress, documents as necessary to ensure continuity of care/liliSeeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge./liliCommunicates with payers or required parties to ensure reimbursement certification for assigned patients and discusses payer criteria with the Discharge Planner and issues on a case by case basis with clinical staff and follows-up to resolve problems with payers as needed./liliWorks closely with Discharge Planners (DCP), members of patients healthcare teams to manage and coordinate all areas of care and collaborates with the DCP, interdisciplinary care teams, patients and families in the assessment and coordination of discharge planning needs; collaborating with internal and external case managers../liliEnsures safe care to patients by adhering to policies, procedures and standards, within budgetary specifications including time/supply management, productivity and accuracy of practice./liliCollects and reports resource and financial indicators including clinical metrics case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals./liliServes on agency committees, work groups, and other bodies./liliResponsible for quality assurance in the units service delivery including clinical care and documentation. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team, and collects delay and other data, as well as quality metrics, for specific performance and/or outcome indicators./liliPerforms additional duties as assigned./li/ulpstrongMinimum Requirements:/strong/pulliEducation: Requires a Bachelors Degree in Nursing or Masters Degree in Social Work./liliExperience : Requires a minimum of five (5) years acute care case management experience in an acute healthcare environment. Demonstrated understanding of DCP for specific disease states. Understanding of Social Determinants of Health (SDOH) impact on health./liliLicense: Must be licensed in the Commonwealth of Virginia to practice as a Registered Nurse (RN)in the Commonwealth of Virginia as a Social Worker./liliCertification: 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) upon start./li/ulpstrongPreferred Qualifications:/strong/pulliFive (5) + years of previous Inpatient (hospital) case management experience, case management discharge planning, and supervisory/lead experience is highly preferred. Previous experience working through medically complex cases is also highly preferred./li/ulh2About Us/h2pWe are Inova, Northern Virginias leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason were a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, were constantly striving to be ever better to shape a more compassionate future for healthcare./ppInova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law./ph2Job Info/h2ulliJob Identification 676124/liliJob Category Behavioral Health Social Services/liliLocations Inova Mount Vernon Hospital/liliJob Schedule Full time/li/ul/div