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Case Manager PRN

Company: Spotsylvania Regional Medical Center
Location: Fredericksburg
Posted on: July 18, 2021

Job Description:




Spotsylvania Regional Medical Center is a 133-bed facility that opened June 7, 2010.  SRMC provides a wide range of inpatient and outpatient services including emergency, women’s services, orthopedic, cardiac care and behavioral health services.  Our surgical services include robotic-assisted technology, allowing our surgeons to operate with the tiniest incisions and with greater vision, precision and control.
At Spotsylvania Regional Medical Center we put patients first by focusing on the highest quality patient care practices and advanced technologies while keeping patient safety a top priority. You'll be treated as an individual, with compassion and care. Patients first means excellent service, every patient, every time. 
 What will you do?
Utilization Review
  • Performs utilization review to insure admissions meet severity of illness and intensity of service based on Interqual criteria
  • Completes continued stay reviews and submits to private payers to ensure patient continues to meet inpatient admission criteria.
  • Performs continuous assessments and evaluations to ensure patient is progressing towards desired outcomes.
  • Provides age and culturally appropriate care.
  • Orients and mentors new staff members.
  • Reviews metrics reporting data and make corrections according to CMS and HCA guidelines
  • Ensure Medicare Order Form on chart, documented and authenticated.
Discharge Planning
  • Works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge.
  • Performs continuous assessments and evaluations to ensure patient is progressing toward desired outcomes.
  • Assesses and responds to patient/family needs by coordinating efforts of other team members.
  • Identifies and resolves barriers that hinder effective patient care.
  • Collaborates and consults with physicians on patient’s progress and discharge planning needs.
  • Coordinates the discharge planning process ensuring involvement of all members of the healthcare team.
  • Counsels with patient and family members for decision making and in meeting psycho-social needs of patient.
  • Maintains knowledge of resources and facilities available to patients and family members.
  • Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.
  • Follows Standard Precautions using personal protective equipment as required.

Care Coordination

  • Effectively targets patients with diagnoses that are at risk for extended length of stays, patients who lack resources for optimum follow up at discharge, and patients who have been hospitalized for an extended period of time, as determined by the facility.
  • Performs assessment and reassessment of assigned patients to ensure goals are met and discharge plans in place
  • Attend interdisciplinary team (IDT) rounds daily at bedside with physician-lead IDT
  • Communicate length of stay (LOS) barriers to discharge plan and assist with daily goals during IDT rounds
  • Documents findings and recommendations in MIDAS under the HCM Care Coordination Support Service activity line in the Comments screen


Tuition Reimbursement Program ($5,250/calendar year)
Student Loan Assistance Program (FT/PT employees)
Comprehensive Medical, Dental, & Vision Package
Matching 401(k) Plan
Nursing Clinical Ladder
Generous Paid Time-Off Plan
Employee Stock Purchase Program
Employee Discount Program



Required: Graduate of an accredited school of Professional Nursing.
Preferred: Bachelors of Science in Nursing.
Required: VA state licensure as RN or multi-state compact license with eligibility to work in VA.
Required: AHA BLS for Healthcare Providers.
Preferred: CCM.
Required: Minimum of 5 years of clinical nursing experience.
Preferred: Knowledge of CMS guidelines and experience working with payer specific guidelines and contractual rules.
We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Keywords: Spotsylvania Regional Medical Center, Alexandria , Case Manager PRN, Other , Fredericksburg, Virginia

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