Care Coordination RN — Case Manager

Luminis Health Inc; Lanham (MD); On-site; USD 48,216 - 68,880; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Retirement Plan with employer match

Paid Time Off

Tuition Assistance Benefits

Employee Referral Bonus Program

Paid Holidays, Disability, and Life/AD

Wellness Programs

Employee Assistance Programs

Job summary

Luminis Health Inc. is seeking a Case Manager to coordinate care across the continuum, ensuring safe and timely transitions for patients. The role requires BSN or ADN with equivalent experience, RN licensure in Maryland, and several years in clinical settings.

You will work under the clinical director of care management to identify needs, engage patients, and document care plans in Epic. The position emphasizes collaboration, adherence to guidelines, and proactive discharge planning, with a pay

Qualifications

• BSN or ADN is required; BSN must be achieved within 5 years of start date.
• Three years of experience in a clinical setting, ambulatory or post-acute; care coordination experience preferred.

Responsibilities

• Identifies and prioritizes patients in need of care management using a holistic biopsychosocial approach.
• Promotes patient engagement and adherence using motivational interviewing techniques.
• Uses evidence-based guidelines to promote quality care and determines appropriate level of care.
• Manages observation stay patients, ensures timely testing, and transitions to inpatient status or discharge.
• Develops and coordinates transition plans for home with home health, hospice, or post-acute providers; coordinates handovers.
• Maintains clear documentation reflecting patient goals, functional status, and transition needs.
• Participates in care management outcome projects and process improvements.
• Identifies situations requiring referrals to infection control, risk management, or quality management; ensures follow-up.
• Utilizes risk tools to tailor interventions and mitigate readmission risks.
• Maintains compliance with CMS, insurers and regulatory standards.

Education

BSN or ADN

Three years clinical experience

Job description

Luminis Health Inc. is seeking a Case Manager to coordinate care across the continuum, ensuring safe and timely transitions for patients. The role requires BSN or ADN with equivalent experience, RN licensure in Maryland, and several years in clinical settings.

You will work under the clinical director of care management to identify needs, engage patients, and document care plans in Epic. The position emphasizes collaboration, adherence to guidelines, and proactive discharge planning, with a pay