Care Transitions Navigator

University of Maryland Medical System; Easton (MD); On-site; USD 70,000 - 90,000; Full time

Job summary

The University of Maryland Medical System is seeking a Care Coordinator who promotes optimal patient health, coordinates access to care, and ensures resources are used appropriately while honoring patient autonomy.

Responsibilities include assessing factors affecting care progression, collaborating with clinical teams to reduce inpatient stays and readmissions, and documenting care plans and transitions in alignment with policy.

Qualifications

• RN license in Maryland is required.
• Minimum of three years’ experience in an acute care hospital.
• Case management/ utilization management experience preferred.
• Excellent verbal and written communication, interpersonal and organizational skills.

Responsibilities

• The Care Coordinator assesses clinical, psychosocial, financial and operational factors affecting care progression.
• Collaborates with clinical team to reduce inpatient length of stay and readmissions.
• Performs admission and continued stay reviews using InterQual/Milliman criteria.
• Develops effective transition plans based on patient needs and resources.
• Participates in rounds and integrates patient narratives into the care plan.
• Develops corrective action plans and escalates as needed.
• Documents information in alignment with care coordination policy.
• Collaborates with Physician Advisor for complex medical plans.
• Participates in clinical performance improvement activities and stays current with practice and reimbursement protocols.

Skills

Communication

Interpersonal skills

Organization

Education

RN license in Maryland

Registered Nursing program graduate

Job description

The University of Maryland Medical System is seeking a Care Coordinator who promotes optimal patient health, coordinates access to care, and ensures resources are used appropriately while honoring patient autonomy.

Responsibilities include assessing factors affecting care progression, collaborating with clinical teams to reduce inpatient stays and readmissions, and documenting care plans and transitions in alignment with policy.