Registered Nurse Case Manager Perinatal Mental Health

We are seeking a Perinatal Mental Health RN Case Manager to join our Women's Behavioral Health team at Fairfax Medical Campus. The role involves supporting perinatal women with resource referrals, care navigation, and discharge planning.

This position is a Monday-Friday (8am \u2013 4:30pm) position with no weekends, no on call, and Inova recognized holidays off.

The Perinatal Mental Health RN Case Manager will be an integral part of the Women's Behavioral Health Hospital Consult team made up of clinical psychologists and licensed therapists. The case manager will be working closely with perinatal women admitted to the hospital for various reasons. This role focuses on providing comprehensive support and care coordination, ensuring a smooth transition from hospital to post-acute settings. The case manager will collaborate with an interdisciplinary team, patients, and families to address physical, social, and emotional needs, and facilitate access to necessary resources and services.

Teamwork is a must in the fast paced and high volume environment of a Level IV Maternity Hospital and NICU.

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 \u2013 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

Registered Nurse (RN) Case Manager I Job Responsibilities:

• Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Collects, analyzes and addresses variances from plans of care and care paths with physicians and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g. discharge planning, chronic disease planning
• Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients by adhering to policies, procedures and standards within budgetary specifications including time management, supply management, productivity and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency. Supports department based goals which contribute to the success of the organization.
• Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in medical records according to department standards and/or care management plans.
• Collaborates/communicates with internal and external case managers. Understands pre-acute and post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare team members. Work closely with members of patients' healthcare teams to manage and coordinate all areas of patients' care. Works holistically to ensure that healthcare plans and discharge plans meet the physical, social and emotional needs of patients.
• Provides educational resources and/or referrals to patients and patients' families to address identified needs such as social or financial. Acts as an advocate for patients to resolve barriers to care progression. Uses utilization management techniques to determine the medical necessity, appropriateness and efficiency of the use of healthcare services, procedures and facilities.
• Identifies at risk populations by using approved screening tools and following established reporting procedures. Monitors LOS and ancillary resource use, depending on inpatient stay or outpatient program criteria, on an ongoing basis and takes actions to achieve continuous improvement efficiencies in both areas. Refers cases and issues appropriately to resolve barriers to care progression.
• Participates in the assessment of patients' clinical and psychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary healthcare team members. Communicates routinely with patients, families, interdisciplinary healthcare team members and other appropriate parties with regard to the status of patients' care plans and progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Works with the multidisciplinary team to address/resolve system problems impeding diagnostic or treatment progress. Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge. Ensures that all elements critical to patients' care plans have been communicated to the patients/families and members of the healthcare team.
• Performs other duties as assigned

Minimum Qualifications:

• Education: Bachelor's Degree Nursing or Associate's Degree. If RN has an Associate's Degree, within 2 years of date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date.
• Experience: Requires a minimum of 1-year Case Management and/or Clinical Care experience.
• Certification: BLS (AHA)
• Licensure \u2013 licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license

Preferred Qualifications:

Experience with perinatal mental health is preferred.

• Support patients with resource referrals and care navigation for perinatal concerns.
• Collect and analyze data for performance indicators, including case mix, LOS, and cost per case.
• Address variances from care plans and collaborate with physicians to drive practice improvements.
• Ensure safe and effective patient management by adhering to policies and standards.
• Provide discharge planning and continuity of care for acute and post-acute settings.
• Initiate and facilitate referrals to various healthcare services as needed.
• Collaborate with internal and external case managers, understanding pre-acute and post-acute resources.
• Act as a liaison and coordinate services between patients, families, and the healthcare team.
• Provide educational resources and referrals to address social, financial, and emotional needs.
• Monitor LOS, identify at-risk populations, and take actions to improve efficiency.
• Registered Nurse (RN) license in good standing.
• Bachelor's degree in Nursing or related field.
• Minimum of 2 years' experience in a hospital setting, preferably in perinatal care.
• Strong knowledge of perinatal mental health and related resources.
• Excellent communication and collaboration skills.
• Ability to work independently and manage a caseload.
• Proficiency in utilizing electronic health records and relevant software.
• Strong organizational and time management skills.
• Ability to work effectively in a fast-paced, interdisciplinary team environment.
• CPR certification preferred.