Case Management Manager

Inova Fairfax Hospital is looking for a dedicated Experienced Manager Case Management to join the Case Management Team. This role will be Full-Time, Day shift: Monday - Friday 8:30 am - 5:00pm. This position has hybrid capabilities. 

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

The Manager of Case Management participates in clinical performance improvement activities. Collaborates and communicates with interdisciplinary teams in all phases of discharge and care planning processes. Communicates with patients, family, medical staff, care team members, students, supervisors and outside contact. Evaluates the process of initiating plans for discharge and/or transitions of care and ongoing case management needs for patients and/or families is required. Supervises staff on the coordination and facilitation of patient care progression throughout the continuum of care.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Manager Case Management Responsibilities:

• Participates in the interviewing/hiring process by reviewing job profiles, reviewing candidate applications/resumes, developing behavioral interview questions, conducting and evaluating interviews in a timely fashion and providing feedback/recommendations on hiring decisions.
• Ensures referrals are initiated to appropriate next level of care (e.g. acute care, home health care, hospice, SNF, LTAC, clinics, TCM), in a timely manner, and coordinates ordering of medical equipment/supplies for safe discharge planning or ongoing care planning.
• Works with staff to facilitate family meetings with all patients as requested by patient, family or healthcare teams. Leads collaboration with physician and members of the interdisciplinary teams to facilitate care for designated case loads.
• Supports the contact of families, physicians or other healthcare team members in anticipation of specials needs of the patients or families, in a timely manner, to facilitate effective treatment plans.
• Provides educational materials and methods in support of team members' abilities to document appropriately to patients' level of understanding and motivation.
• Ensures that patients/families are appropriately assessed for needs with a developed and individualized continuing care plan in collaboration with physician.
• Educates staff on variances in patient responses and how to proactively adjust the care plan in coordination with the interdisciplinary team.
• Supervises staff on the screening process with patients within 24 hours of admission for appropriate services and interventions.
• Evaluates the team members under their supervision assuring proper knowledge gaps are closed and provided necessary education to develop the case manager to the highest level possible.
• Participates in evaluation of metrics and problem solves with the case managers under their supervision to achieve operational goals and metrics
• Understands how to data mine individual productivity and evaluate length of stay on their assigned units with the case managers.
• Works proactively with the Clinical Directors for collaboration on discharge.

• Assures staffing is fair and equitable for all units and the facility is covered each day.

Minimum Requirements:

• Education: Requires a Bachelor's Degree in Nursing (BSN) or Master's Degree in Social Work (MSW).
• Experience: Three (3) years of experience in case management or relevant nursing experience to include utilization review, discharge planning, outcomes management, transitional planning, assessment, care planning and service implementation and two (2) years of direct supervisor/manager experience.
• License:  If BSN must be RN licensed and eligible to practice in VA upon start. 
• Certification: Basic Life Support upon start - Accredited Case Manager (ACM) or Certified Case Manager (CCM) or MCG/UR or Certified Clinical Transplant Social Worker (CCTSW) or N/ASW-CM (ASWCM) or Licensed Clinical Social Worker (LCSW) within 12 months of hire

Preferred Qualifications:

• Three (3) + years of previous Inpatient (hospital) case management experience, case management discharge planning, and two (2) years supervisory/lead experience is highly preferred. Previous experience working through medically complex cases. Current holder of ACM or CCM, or LCSW is also highly preferred. 

Salary Range: $107, 557 - $174, 762

Pay Rate Frequency: ANNUAL