Registered Nurse (RN) Case Manager

Inova Mt. Vernon Hospital is seeking an experienced Registered Nurse Case Manager 1 to provide discharge planning and continuity of care for patients in acute and post-acute settings. This full-time position involves coordinating services across the healthcare team, managing utilization of resources, and serving as a key liaison between patients, families, and interdisciplinary healthcare members.

Clinical Setting

You will work in acute and post-acute care environments, coordinating care transitions and managing cases across multiple settings including hospitals, home healthcare, skilled nursing facilities, acute rehabilitation, and long-term acute care facilities.

Responsibilities

• Provide discharge planning and continuity of care for assigned patients, initiating and facilitating referrals to appropriate post-acute settings and services
• Collaborate with patients, families, and the interdisciplinary healthcare team to assess discharge planning needs and coordinate transition of care
• Use utilization management techniques to determine medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities
• Facilitate precertification and payer authorization processes and discuss payer criteria on a case-by-case basis with clinical staff
• Collect and analyze performance data including case mix, length of stay, cost per case, readmission rates, denials, and appeals
• Identify and address variances from care plans and clinical pathways in collaboration with physicians and healthcare team members
• Monitor length of stay and ancillary resource use to achieve continuous improvement in efficiency
• Identify at-risk populations using approved screening tools and established reporting procedures
• Participate in clinical performance improvement activities and support department-based goals
• Communicate routinely with patients, families, and healthcare team members regarding care plan status, progress toward treatment goals, and identification of concerns
• Act as an advocate for patients to resolve barriers to care progression
• Ensure adherence to policies, procedures, and standards within budgetary specifications
• Document discharge planning information and care management plans according to department standards
• Participate in mandatory and continuing education to maintain professional competency

Schedule

• Full-time, Monday through Friday with rotating weekends

Required Qualifications

• Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse, or hold an active multi-state Registered Nurse license
• Basic Life Support certification from the American Heart Association
• One year of case management and/or clinical care experience
• Bachelor's Degree in Nursing or Associate's Degree in Nursing

Education Requirements

If you hold an Associate's Degree in Nursing, you must meet with your nurse leader within two years of hire to: identify an accredited school for BSN completion, provide a written plan with anticipated completion date, submit transcripts showing required prerequisites and course timeline, and complete your BSN within five years of your start date.

Preferred Qualifications

• One year of previous inpatient case management and discharge planning experience

Benefits

• Medical, dental, and vision coverage
• Robust team member wellness program
• Retirement plan with employer match of first 5% of eligible contributions, starting on day one
• Tuition and student loan assistance up to $5,250 per year in education assistance and up to $10,000 for student loans
• Mental health support including 25 mental health coaching or therapy sessions per person per year at no cost for team members, spouses/partners, and children
• Paid time off
• Paid parental leave