RN Case Manager

Memorial Physician Practices; Danville (VA); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Comprehensive Benefits

PTO & Leave Policies

Tuition Assistance & 401(k) match

Wellness programs

Professional Development

Job summary

Sovah Health - Danville is seeking an RN Case Manager to support adult patients through discharge planning, coordination with health teams, and payer communications. The role emphasizes timely assessments, documentation, and collaboration with physicians to optimize patient outcomes.

Schedule is Monday–Friday, 8:00 AM–4:30 PM. The position offers comprehensive benefits and a strong teamwork environment within Lifepoint Health network.

Qualifications

• Active Virginia RN license (single-state) or compact license.
• Associate's degree in nursing is required.
• Bachelor's degree preferred.

Responsibilities

• Completes documentation per workflow timeline and CMS guidelines.
• Schedules family conferences with caregivers and informs on progress and discharge plans.
• Coordinates weekly patient care team conferences to monitor and refine the treatment plan.
• Reviews CMG and identifies missed comorbid conditions; reports findings to HIM team.
• Assists with utilization review activities including denials/appeals and peer reviews with payer directors.
• Ensures clinical updates are provided to all insurance payers via Meditech.
• Coordinates discharge planning needs (home health, equipment, therapy, hospice, etc.).
• Identifies trends impacting quality, cost, patient experience and presents to leadership.
• Performs intake assessment within 24 to 72 hours of admission; follows up as per policy.

Skills

RN license

Discharge planning

Documentation

Coordination

Communication

Education

Associate's degree in nursing

Bachelor's degree preferred

Tools

Meditech

Job description

RN Case Manager

Schedule: Monday-Friday 8 AM - 4:30 PM

Hourly range: $32.34- $43.66

Your experience matters

Sovah Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As RN Case Manager joining our team, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More about our team

Our Case Management team focuses on serving the adult population in our community, maintaining a patient-to-staff ratio that is below the national average. Our collaborative approach to safe, effective discharge planning includes close coordination between a Utilization Review, Case Management, and Social Worker-ensuring each patient receives comprehensive, personalized support throughout their care journey.

How you'll contribute

A RN Case Manager who excels in this role:

• Completes documentation per workflow timeline and content requirements including completion of the Individual Plan of Care (IPoC) per CMS guidelines.

• Schedules family conferences and/or communicates with caregiver following each team conference and more often as needed to keep patient and designated caregiver informed of progress and provides appropriate information related to goal achievement, course of rehabilitation stay, and plans for discharge.

• Coordinates weekly patient care team conferences to facilitate development, monitoring and refinement of treatment plan to achieve identified patient goals and outcomes.

• Reviews the patient's assigned CMG and helps the team identify any potential missed comorbid conditions that are actively being treated during the patient's stay. Communicates any findings to the HIM team.

• Assists with concurrent and retrospective utilization review activities including denials and appeals. Works with physicians to conduct peer review with payer medical director when indicated.

• Ensures clinical updates are provided to all insurance payers when due and all payer communications are documented in Meditech.

• Coordinates discharge planning needs including but not limited to; home health services, physician follow up care, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc. Responsible for coordinating all patient care needs prior to discharge ensuring a safe thorough discharge plan. Ensures patient choice is offered and documented as per CMS' Conditions of Participation for Discharge Planning.

• Identifies trends that impact the quality, cost effectiveness, patient experience and delivery of care services and brings to departmental leadership meetings for discussion and action.

• Performs intake assessment on patient within 24 to 72 hours of admission, preferably within 48 hours.

• Performs follow-up assessments per Case Management Plan and/or hospital policy.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage, tailored benefit options for part-time and PRN employees, and more.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for

Applicants must have an active Virginia RN license (single-state) or compact license. If relocating, licensure must be updated to the new Primary State of Residence (PSOR) before employment begins. Associate's degree in nursing required.

Additional requirements include:

• Bachelor's degree preferred

• Experience in acute care hospital, preferred

More about Sovah Danville

Sovah Health - Danvilleis a250-bed academic acute carehospitalthat has been offering exceptional care to theDanvillecommunityfor over120 years. We are proud to be recognized by the American College of Cardiology (Chest Pain Center & Heart Failure), American College of Surgeons' Commission on Cancer and Member of the Duke Heart Network and Duke Telestroke Network.

EEOC Statement

Sovah Health - Danville is an Equal Opportunity Employer. Sovah Health - Danville is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.