Case Manager Registered Nurse Juniper Program

Company: Inova Health System
Location: Fairfax
Posted on: September 19, 2023

Job Description:

As a Registered Nurse (RN) Case Manager I, you will actively participate in clinical performance improvement activities. To help achieve our mission, you will provide discharge planning and continuity of care for assigned patients in acute and post-acute settings. Your understanding of pre-acute and post-acute resources is expected. Providing coordination of services and acting as key Liaison between patients, families and interdisciplinary healthcare members is of vital importance. Using utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities is essential. Taking ownership for the timely regulatory compliance and facilitation of precertification and payer authorization processes when indicated is required.
This role is on site - Monday to Friday, 0830-1700.
Job Duties

• 
  
• Medically case manage patients who are HIV+
  
• Assisting with insurance benefits, medication adherence, patient education, specialty referrals
  
• Scheduling appointments
  
• Document services per Grant requirements
  
• Performing assessments and creating ISP's
  
  Expectations
  
  • 
    
  • Professionalism with all patients/team members
    
  • Able to multi task
    
  • Organizational skills
    
  • Prioritizing skills
    
  • Maintaining patient confidentiality
    
  • Maintain a full census and meeting with patients in a timely mannerRequirements
    
  • Education: BSN
    
  • Experience: 1 year of case management or clinical experience
    
  • License: Active RN license in VA
    
  • Certification: BLS through the American Heart Association
    
    

Keywords: Inova Health System, Washington DC , Case Manager Registered Nurse Juniper Program, Healthcare , Fairfax, DC