Registered Nurse - Case Manager

Job Description

 

Spectrum Healthcare Resources has an opportunity for a civilian contractor for a full time Registered Nurse – Case Manager at the Fairfax Ambulatory Care Clinic in Fairfax, VA.

 

This contract position offers:

• Monday-Friday daytime - 40 hours (8:30am-4:30pm)
• Outpatient Setting
• Opportunity to Care for our Active Duty, Retiree's and their families
• 11 paid federal holidays (no weekend or on-call responsibilities) 
• Benefits: medical, dental, vision, life insurance, 401k, etc!

Essential Functions:

• Find the most appropriate medical resources for providing optimal care and promoting the best possible outcome for the patient by providing care along a continuum, decreasing fragmentation of care across many settings, enhancing the client’s quality of life, and containing costs.
• Identify the clinical rationale for procedures or tests.
• Gather necessary information and determine the medical necessity of the services and appropriateness of certain levels of care.
• Work with Utilization Management (UM), medical records or patient administration, and the quality division within the Clinic, and DCHN to provide Case Management information to clinicians and medical group leadership.
• Provide holistic patient-centered, individual and family level services for beneficiaries in support of peacetime and military readiness and contingencyrequirements. 
• Provide the patient and family an advocate, when needed, to navigate the healthcare system to ensure the right care is appropriately provided at the right time and place.
• Develop and implement a comprehensive Case Management program for Military Health System beneficiaries in coordination with the FHCs goals and objectives.
• Facilitate in the development and integration of Case Management review policies and procedures into the medical group function. 
• Serve as a liaison with higher headquarters, TRICARE Regional Offices (TROs), Managed Care Support Contractors (MCSCs), Accreditation Association for 2 Ambulatory Health Care (AAAHC), professional organizations, and community health care facilities concerning the FHCs CM program.
• Conduct first level reviews for all referrals to specialty care IAW established indicators to ensure quality and appropriate, cost-effective services, for patients assigned to case management.
• Interface with TRICARE Contractor(s) and multidisciplinary personnel as needed to ensure appropriateness and completeness of referrals.
• Plan and prioritize Case Management activities to ensure identified patient needs are addressed promptly. Act as facilitator of professional and patient careactivities.
• Assist with other duties as needed and assigned.

 

Job Requirements:

• Must be a U.S. Citizen.
• Must possess a Baccalaureate Degree in Nursing (BSN) from an accredited college or university; and/or graduate of an accredited National League of Nursing (NLN) School.
• 1+ years of RN Behavioral Health experience preferred within last 5 years
• Have and maintain a current certification in Basic Cardiact Life Support (BLS).
• Working knowledge of interdisciplinary treatment team process, behavioral health programming and daily nursing functions for outpatient behavioral health.
• Have knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated records.

 

This isn't just a job; it's a chance to be part of an innovative, patient-centric healthcare team that values your skills and dedication. Join us at Fairfax Health Center and embark on a rewarding journey toward professional growth and fulfillment. Don't miss out on this chance to make a difference in patients' lives and advance your career in a dynamic healthcare environment. Join us at Fairfax Health Center and be a part of something truly exceptional.

 

Ready to seize this opportunity?

 

Please contact:

Cristina Mazzella, Recruitment Manager

Cristina_mazzella@spectrumhealth.com

 

 

 

 

About Fairfax, Virginia:

 

 

Fairfax offers activities to impress the hobby historian, avid outdoorsman,

and aspiring artist! Fairfax has something for everyone with a convenient

location only 20 miles from Washington, D.C. Some highlights include:

 

• Take an engaging guided tour at George Washington’s Mount Vernon
• Explore 800 breathtaking acres of the Great Falls National Park
• Admire the work of over 60 local artists at the Workhouse Arts Center
• Indulge at the annual Chocolate Lovers