Case Manager

Mercy Medical Center, Inc.; Baltimore (MD); On-site; USD 51,000 - 92,000; Full time

Benefits offered by this job

Health, Vision, Dental

403(b) retirement plan

PTO & holidays

Tuition reimbursement

Mental Health resources

Disability coverage

Voluntary benefits

Insurance discounts

Rewards program

Job summary

Mercy Medical Center, Inc. in Baltimore, MD is hiring an RN Case Manager to assess, plan, implement, coordinate and evaluate patient care in collaboration with physicians and a care team. You will oversee discharge planning and inpatient length of stay while promoting quality and cost-effective outcomes.

The role requires a Nursing degree and valid RN license, with preference for 3+ years in a clinical setting and experience in managed care and utilization review using MCG.

Qualifications

• Must possess a degree in Nursing.
• Valid RN License.
• 3 years in a clinical setting; Medical/Surgical experience preferred.
• Managed care experience preferred.
• Case management experience preferred.
• Utilization review skills using MCG preferred.

Responsibilities

• Assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's healthcare needs, through communication and the use of available resources to promote quality, cost effective outcomes.
• Collaborate with the physician, oversee the inpatient LOS, denied days, resource utilization and discharge planning.
• Coordinate with physicians, social workers and staff; maintain detailed records and provide crisis intervention when necessary.

Education

Nursing degree

Tools

MCG Utilization Review

Job description

Summary

Join Our Team at Mercy Medical Center - Now Hiring an RN Case Manager!

Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023-2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025.

As a hospital founded by the Sisters of Mercy, we offer a supportive and empowering environment where dedicated medical professionals thrive. If you're passionate about making a meaningful impact through your work and contributing to a mission of compassionate care, we invite you to apply today and join our Mercy family.

Responsibilities

The RN Case Manager applies case management strategies to assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual's healthcare needs, through communication and the use of available resources to promote quality, cost effective outcomes. The RN Case Manager, in close collaboration with the physician, will be responsible for the in-patient length of stay (LOS), denied days, resources utilization and will oversee the discharge planning process.

The RN Case Manager responsibilities include assessing clients needs, developing individualized care plans, coordinating with physicians, social workers and ancillary staff, and advocating for clients' rights and access to resources. They monitor client progress, maintain detailed records, facilitate communication between all parties, and provide support and crisis intervention when necessary. The RN Case Manager, in close collaboration with the physician, will be responsible for the in-patient length of stay (LOS), denied days, provide daily utilization reviews and will oversee the discharge planning process.

Requirements

• Must possess a degree in Nursing
• Valid RN License
• 3 years in the clinical setting; Medical/Surgical experience preferred
• Managed care experience preferred
• Case management experience preferred
• Utilization review skills using MCG preferred

Min

USD $36.92/Hr.

Max

USD $66.46/Hr.

Salary Information

Compensation decisions are made in alignment with internal equity, role scope, and market data to ensure fair and consistent pay practices. Most new hires are typically placed within the lower to mid-portion of the range; offers above that level are reserved for candidates with advanced or highly specialized qualifications.

Benefits

Benefits Eligibility is based on your scheduled FTE status and Job Category

• Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees
• 403(b) retirement plan with generous company match and "catch up" provision
• Paid Time Off (PTO) & company paid holidays
• Tuition reimbursement
• Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program
• Employer paid Short & Long Term Disability benefits for eligible employees
• Voluntary Benefits
• Discounts on auto & home insurance and Verizon plans
• Mercy's Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy's Mission and Values

EEO Statement

Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.