MedStar Health - Baltimore, MD

posted 3 days ago

Full-time
Baltimore, MD
Hospitals

About the position

The Case Manager RN plays a crucial role in the Case Management Team, utilizing clinical expertise to coordinate care and facilitate discharge planning. This position focuses on delivering quality, cost-effective, and patient-centered care throughout the patient's journey, from pre-admission to post-discharge. The Case Manager ensures that care is tailored to meet individual patient outcomes and monitors the services provided during the hospital stay to optimize clinical and resource outcomes.

Responsibilities

  • Facilitate the delivery of quality, cost-effective, patient-centered care from pre-admission through post-discharge.
  • Monitor care and services delivered to selected patient populations during the acute hospital stay.
  • Promote effective case management and utilization of resources.
  • Achieve optimal clinical and resource outcomes for acute and post-hospital phases of care.
  • Collaborate with the multidisciplinary health care team to develop and coordinate the plan of care.
  • Communicate with patients, families, and healthcare teams to address appropriate issues and goals.
  • Evaluate and document the patient's response to the plan of care and achievement of outcomes.
  • Manage a caseload of patients and identify essential resources needed for care implementation.
  • Participate in Performance and Service Improvement teams.

Requirements

  • Associate's degree in Nursing (ADN) required; Bachelor's degree in Nursing (BSN) preferred.
  • 3-4 years of clinical experience required; 1-2 years of case management experience preferred.
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland required upon hire.
  • CCM - Certified Case Manager preferred upon hire.
  • Ability to use a computer to enter and retrieve data, with working knowledge of Microsoft Word, Excel, and PowerPoint applications.
  • Effective verbal and written communication skills.
  • Excellent interpersonal skills.

Nice-to-haves

  • Experience in managed care and care management.
  • Knowledge of regulatory agencies' requirements and Medicare/Medicaid reimbursement methods.
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