Case Manager RN

UVA Community Health; Culpeper (VA); On-site; USD 42,705 - 68,880; Full time

Job summary

UVA Community Health is seeking an RN Case Manager to lead the complex discharge planning process and coordinate care across physicians and the healthcare team.

You will collaborate with MSW for psychosocially complex cases, facilitate coordination of care, and maintain knowledge of post-acute resources to support medically complex patients.

Qualifications

• Bachelors degree in nursing not required but preferred; BSN preferred.
• 2+ years healthcare experience; case management experience preferred.
• Current RN licensure in state of employment required.
• Weekend and holiday coverage required; MS Office competency.
• Proficiency with discharge planning and care coordination is expected.

Responsibilities

• Lead discharge planning for complex cases.
• Collaborate with physicians, nurses, social workers and team members to develop and implement discharge plans.
• Coordinate post-acute care and community resources.
• Assess patient needs and determine appropriate care transitions.
• Monitor quality and safety of core processes in the department.
• Communicate regularly with staff and patients to improve processes.
• Perform medical tasks under physician direction; history and physicals, labs, diagnostics, and independent evaluation during emergencies.
• Provide monitoring and continuity of care between physician visits.

Skills

Case management

MS Office

Education

Associate s Degree in Nursing

Tools

MS Office

Job description

Job Code: CM1082

Job Summary

The RN Case Manager serves as a leader of the complex discharge planning process and a valued member of the healthcare team. They collaborate with physicians and other members of the healthcare team to assess, plan, implement and evaluate proactive/complex/safe discharge plans. The RN Case Manager collaborates with MSW for guidance with psychosocially complex cases and facilitates coordination of care. They are a resource for discharge planning and care coordination for medically complex cases and maintain knowledge of available community resources/post‑acute care options.

Responsibilities

• Lead the discharge planning process for complex cases.
• Collaborate with physicians, nurses, social workers, and other team members to develop and implement discharge plans.
• Coordinate post‑acute care and community resources.
• Assess patients’ needs and determine appropriate care transitions.
• Monitor quality and safety of core processes in the department.
• Communicate regularly with staff and patients to improve processes.
• Perform medical tasks under the direction of practice physicians, including history and physical, labs, diagnostics, and independent evaluation during emergencies.
• Provide monitoring and continuity of care between physician visits.
• Anything else as assigned.

Qualifications

• Education: Associate's Degree in Nursing required. Preferred: 4‑Year/Bachelor's Degree, BSN.
• Experience: 2 or more years of healthcare experience preferred; case management or related experience preferred.
• Licensure: Current RN licensure in the state of employment required.
• Additional Skills/Requirements: Weekend and holiday coverage; preferably competent in Microsoft Office.

Competencies

• Patient Care
  • Interview and advise patients regarding health and illness prevention.
  • Synthesizes data to determine preliminary diagnosis and therapeutic plan using prevention principles.
  • Recommends community resources to meet patient and family needs.
• Quality
  • Collaborate with other departments to achieve desired quality outcomes.
  • Monitor quality of core processes.
  • Apply principles of safety and infection control.
• Communication
  • Demonstrate superior interpersonal and communication skills.
  • Work within a team to achieve patient and team goals.
  • Share and initiate regular professional communication with co‑workers.
  • Participate in regular staff meetings.
  • Identify opportunities to improve processes based on staff and customer feedback.
• Medical Knowledge
  • Obtain complete history and physical data.
  • Review patient records.
  • Interpret and integrate data for diagnostics and therapeutics.
  • Perform a complete physical exam and record findings.
  • Establish presumptive diagnosis.
  • Order appropriate laboratory and diagnostic procedures.
  • Perform independent evaluations and treatments in emergency situations.
  • Provide monitoring and continuity of care between visits.

Physical Demands

Medium to Heavy Physical Demand: constant standing, frequent walking, bending/stooping; requires proficient communication, auditory, and visual skills; attention to detail; ability to lift/push/pull 100 lbs. Use Safe Handling Equipment for weights over 35 lbs. The job may not include all assigned duties and can be amended at UVA Community Health’s discretion.

Other

• May require the use of safety equipment such as HEPA mask for infection prevention.
• On‑call responsibilities as directed.
• Ability to travel between campus buildings, remote facilities, and out of town as needed.

Compensation

The base compensation range for this role is $31.22 – $50.50 hourly. Individual compensation will be determined by the selected candidate’s qualifications, previous work experience, and/or education. The pay range does not include incentive compensation programs such as shift differentials and clinical ladders that may be available for eligible positions.