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utilization review nurse jobs near winchester, va

Case Manager Per Diem First Shift

Valley Health -
Winchester, VA

Apply Now

Job Details

Part-time | Per diem
$34.00 - $48.87 an hour

Benefits

Wellness program
Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Customer communication
RN License
BLS Certification
Bachelor of Science in Nursing
Bachelor's degree in nursing

Full Job Description

Department

NURSE CASE MANAGERS - 208415

Worker Sub Type

Per Diem

Work Shift

First Shift (United States of America)

Pay Range

$34.00 - $48.87

Job Description

The Case Manager is responsible for contributing to the development of a goal-directed, age-appropriate plan of care through an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes. The Case Manager collaborates with the interdisciplinary team to develop and document a discharge plan in the most appropriate setting to meet the patient needs while serving as an advocate to patients and families. The Case Manager ensures that activities to facilitate, broker, and coordinate the plan are being implemented, and that the plan is continuously modified based on the patient's changing needs.

Duties Include:
Negotiating services and resources when deemed needed while using creative problem solving for complex discharge planning.

Active participation in discharge planning rounds and process improvement projects.

Communicating patient needs and updates to appropriate professionals and post-acute providers.

Collaborating with the multidisciplinary team to ensure continued acute hospitalization is appropriate.

Maintaining a supportive and dynamic relationship with all members of the multidisciplinary team as well as post-acute providers.

Completing thorough and timely documentation that accurately reflects the status of the discharge plan.

Completing screens on assigned patients within 24 hours or the first business day.

Serving as a resource and providing education to the multidisciplinary team regarding levels of care, transition planning issues, and regulatory concerns.

Maintaining awareness of research and current trends that influence practice by attending professional meetings, in-services, and conferences.

Maintaining knowledge of reimbursement modalities, community resources, and clinical and legal issues that affect patients and providers of care.

Assists with the arrangement and follow-up with community resources. Case Manager will assist in providing a seamless transition utilizing the entire continuum of care and helping to facilitate patients' movement to the next level of care.

Education

Bachelor's degree in Nursing (BSN) is required.

Master's degree in Nursing (MSN) is preferred.

Graduate of an accredited school of nursing is required.

Experience

Minimum five years of professional practice experience in an acute care setting preferred.

Prior Case Management or Utilization Management preferred.

Certification & Licensure

Licensed as a Registered Nurse in the State of Virginia is required.

BLS Certification (Basic Life Support) - American Heart ‘Healthcare Provider’ (HCP) - AHA approved is required. New hires must have American Heart Association (AHA) appropriate certification prior to completion of orientation.

Certification in Case Management is desirable.

Qualifications

Skills needed include excellent written/verbal communication and interpersonal skills with all levels of internal and external customers, critical thinking skills, creative problem solving, proficient organization, and planning. Must be self-directed and have the ability to tolerate frequent interruptions and a demanding workload. Knowledge of funding, resources, services, clinical standards, and outcomes is preferred. Demonstrate the ability to be creative, innovative, and flexible in responding to rapidly changing needs and priorities.

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

A Zero-Deductible Health Plan
Dental and vision insurance
Generous Paid Time Off
Tuition Assistance
Retirement Savings Match
A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com .

Apply Now

Refine Your Search

utilization review nurse jobs in winchester, va

Case Manager Per Diem First Shift

Registered Nurse - Unit Clinical Care Coordinator - Full Time

Case Manager - Full Time

Travel RN - Case Management/Utilization Review - Case Management

Clinical Coordinator - RN

Appeals Professional III (Licensed Clinician)

Utilization Management Reviewer

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