Talent.com
No longer accepting applications
Case Management Specialist

Case Management Specialist

Inova Health SystemFalls Church, VA, United States
30+ days ago
Job type
  • Full-time
Job description

Inova Fairfax Medical Campus is looking for a dedicated Case Management Specialist to join the team. This role will be Full-Time, Day Shift, Monday - Friday, 8 : 00 a..m - 4 : 30 p.m. with some weekends and holidays.

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.

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

Case Management Specialist Job Responsibilities :

The Case Management Specialist coordinates and performs administrative activities to support the Case Management department. Participates in the annual and ongoing budget processes, arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in order to ensure that appropriate continuing care services are in place for patient transitions. Communicates and documents accurate clinical / financial information in both verbal and written forms in order to assist Case Managers and / or Social Workers in appropriate assessments, implementations and evaluations of patients' continuing care needs. Delivers and documents delivery of regulatory forms such as the mandated Observation letter, and the Medicare IMM notifications. Receives and documents benefit and contract level requirements in order to ensure the appropriate utilization of benefits and services.

  • Conducts timely arrangements of services to meet customer requirements.
  • Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned.
  • Distributes and documents delivery of mandated Observation and Medicare IMM / HINN letters as directed.
  • Communicates financial and clinical information to clinicians, patients, families, care team members and external customers.
  • Documents clinical and financial patient information in order to assist with discharge, planning and access to continuing care services.
  • Communicates with payor and documents detailed instructions on billing, authorization and utilization of services.
  • Completes state and federal forms related to patient level of care, according to regulatory standards, in order to assist with patient transition.
  • Manages and maintains state required UAI filings as well as all accounts receivable / payable functions for the department to ensure timely payments.
  • Maintains and monitors the system Case Management program including reimbursement of all negotiated vendor contracts.
  • Provides support to the strategic planning and business development initiatives of the department. Reviews and approves time / attendance for department staff on a biweekly basis. Performs periodic reviews to track employee time and attendance for department leadership. Submits any identified time / pay adjustments to Payroll in a timely manner.
  • Maintains records of all system Case Management files and acts as liaison to Foundation, auxiliary and external vendors.
  • Assists in monitoring the operational budget, in collaboration with department Director, related to funds disbursement and reconciliation.
  • Tracks and monitors accounting for budgets, capital requests, travel funds and business expenses.
  • Performs additional duties as assigned.
  • Minimum Qualifications :

  • Education : High School or GED
  • Experience : 2 years of relevant experience
  • Preferred Qualifications :

  • Associate's degree or Bachelor's degree
  • Administrative / clerical experience in healthcare
  • Create a job alert for this search

    Case Management Specialist • Falls Church, VA, United States

    Related jobs
    • Promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Travel Nurses, Inc.Washington, DC, US
    Full-time
    RN Case Management for a travel nursing job in Washington, District of Columbia.Job Description & Requirements.Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmati...Show moreLast updated: 30+ days ago
    • New!
    Case Manager

    Case Manager

    Global RefugeFairfax, VA, USA
    Full-time
    Quick Apply
    If you are passionate about transforming communities with a mission-driven organization, then we have the opportunity for you!. Since 1939, the Lutheran Immigration and Refugee Service (LIRS) has of...Show moreLast updated: 22 hours ago
    • Promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    GLC On-The-GoWashington, DC, US
    Full-time
    GLC On-The-Go is seeking a travel nurse RN Case Management for a travel nursing job in Washington, District of Columbia.Job Description & Requirements. Pay package is based on 8 hour shifts and ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Case Manager - $2,220 per week in Washington, DC

    Travel Nurse RN - Case Manager - $2,220 per week in Washington, DC

    TravelNurseSourceWashington, DC, US
    Full-time
    TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Washington, Washington DC, 20007!. Coast Medical Service is a nationwide travel nursing & allied health...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Supervisor Care Management RN

    Supervisor Care Management RN

    Providence Health and ServicesWashington, DC, US
    Full-time
    The Supervisor position reports to the Manager, Case Management and is responsible for the direct supervision of the assigned Case Managers, Coordinators, and Case Management Associates.Supervision...Show moreLast updated: 14 hours ago
    • Promoted
    Case Manager (Supports Planner)

    Case Manager (Supports Planner)

    Service Coordination IncColumbia, Maryland, United States
    Full-time
    Looking for a job working in your community and advocating for those underserved individuals? See Below!! • • Service Coordination, Inc. Supports Planners with a passion to serve and work within your ...Show moreLast updated: 5 days ago
    • Promoted
    Supervising Case Manager (Supervising Service Coordinator)

    Supervising Case Manager (Supervising Service Coordinator)

    Service Coordination IncBethesda, Maryland, United States
    Full-time
    SCI Summary : SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health’s Tar...Show moreLast updated: 30+ days ago
    • Promoted
    Inpatient Case Manager - MSW

    Inpatient Case Manager - MSW

    SentaraWoodbridge, VA, United States
    Full-time
    Sentara Northern Virginia Medical Center is hiring an Inpatient Case Manager - MSW!.Sentara Northern Virginia Medical Center - Woodbridge, VA. Monday - Friday : 8 : 00am-4 : 30pm, rotating weekends and h...Show moreLast updated: 20 days ago
    • Promoted
    Supervising Case Manager (Supervising Service Coordinator)

    Supervising Case Manager (Supervising Service Coordinator)

    service coordinationBethesda, MD, United States
    Full-time
    SCI Summary : SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health’s Tar...Show moreLast updated: 4 days ago
    Housing Case Manager

    Housing Case Manager

    FacetsAlexandria, Virginia, United States
    Full-time +1
    Quick Apply
    Case Manager Supervisor, Next Steps Program.Full-Time / Non-Exempt / Permanent.In-Person, Alexandria, Virginia.FACETS is looking for mission-driven Housing Case Manager to join our team serving familie...Show moreLast updated: 30+ days ago
    Supportive Housing Case Manager

    Supportive Housing Case Manager

    Shelter HouseFairfax, VA, US
    Full-time
    Quick Apply
    Supportive Housing - Case Manager.Supportive Housing Program Manager.Shelter House was established in 1981 as a grassroots responder to the homelessness crisis in Fairfax County.Since the organizat...Show moreLast updated: 30+ days ago
    • Promoted
    Certified Peer Recovery Specialist MRSS

    Certified Peer Recovery Specialist MRSS

    Imind Health LLCHyattsville, MD, US
    Full-time
    As a Certified Peer Recovery Specialist of the MCRT, you will work alongside a clinician to respond to crises within Prince George’s County Public Schools. You will assist the clinician in adm...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Case Manager - $1,928 to $2,081 per week in Warrenton, VA

    Travel Nurse RN - Case Manager - $1,928 to $2,081 per week in Warrenton, VA

    TravelNurseSourceWarrenton, VA, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Warrenton, Virginia, 20186!.Host Healthcare is an award-winning travel healthcare company with an immediate ...Show moreLast updated: 1 day ago
    • Promoted
    Case Management Analyst

    Case Management Analyst

    Agile Defense, Inc.Springfield, VA, United States
    Full-time
    At Agile Defense we know that action defines the outcome and new challenges require new solutions.That’s why we always look to the future and embrace change with an unmovable spirit and the courage...Show moreLast updated: 6 days ago
    • Promoted
    Case Manager

    Case Manager

    service coordinationGreenbelt, MD, United States
    Full-time
    Looking for a job working in your community and advocating for those underserved individuals? See Below!! • • Service Coordination, Inc. Service Coordinators with a passion to serve and work within yo...Show moreLast updated: 2 days ago
    • Promoted
    Medical Case Manager - Workers' Compensation

    Medical Case Manager - Workers' Compensation

    ForzaCareWashington, DC, United States
    Full-time
    Medical Case Manager — Workers' Compensation.ForzaCare, founded in 2022, is a purpose-driven organization that helps injured workers recover faster and return to work safely through coordinated, cl...Show moreLast updated: 4 days ago
    • Promoted
    LMSW / LGSW Inpatient Case Manager PRN

    LMSW / LGSW Inpatient Case Manager PRN

    MedStar HealthOlney, MD, United States
    Full-time
    MedStar Health is looking for an Inpatient Case Managerto join our team!.The Inpatient Case Manager functions as part of the interdisciplinary health care team and serves as a patient liaison betwe...Show moreLast updated: 30+ days ago
    Emergency Management Specialist

    Emergency Management Specialist

    Armada LtdFalls Church, VA, USA
    Full-time
    Quick Apply
    CONTINGENT UPON AWARD • • • • • • • • • • • • • • • • • • • • •.Duties & Responsibilities : .Emergency Management (EM) Specific Responsibilities : . Emergency Management Specialists manage all-hazards EM programs, inclu...Show moreLast updated: 30+ days ago