Provides first line supervision of RN Case Managers and support staff within the inpatient setting. Performs case manager duties in accordance with established policies procedures and standards of practice. Performs initial assessment on all patients. Begins discharge process from day one of patient’s stay. Communicates with payers to facilitate the patient’s effective and efficient movement through the hospital system. Complete level of care assessment to ensure patients are receiving the appropriate level of care and to ensure that the patient transitions through their stay without barriers or delays in care delivery. Work closely with the Admitting Physicians to ensure appropriate documentation of clinical information necessary to support or determine alternative level of care. Coordinates discharges home and facilitate transfers to external placement facilities. Maintains expert knowledge of Interqual Level of Care criteria.
Teaches coaches and develops others.
Maintains a positive and professional work environment.
Is accountable for outcomes.
Conduct a comprehensive case management assessment of each patient within one day of admission.
Identify patient’s readiness to discharge based on outcomes.
Complete continued stay reviews each day to ensure patients are progressing towards discharge without barriers.
Review all regulatory requirements to ensure high quality safe and cost effective care.
Identify patients with high risk concerns for presentation at Clinical High Risk meeting based on experience high risk report or denials.
Evaluate and measure outcomes in order to continuously improve practice and to enhance outcomes.
In addition to the above job responsibilities, other duties may be assigned.
Position Compensation Range: $88,337.60 - $117,332.80 Annual
MINIMUM REQUIREMENTS
Education: Bachelor’s of Science in Nursing required
Experience: 5 years clinical nursing experience including 3 years case mgmt. experience required.
Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Case Management Association or Commission for Case Manager certification required.
PHYSICAL DEMANDS
Job requires standing for prolonged periods, frequently walking, bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids and infectious disease.
The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. 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, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.