Case Manager I Surgery Pod

University of Maryland Medical System; Baltimore (MD); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Sign-On Bonus

Job summary

University of Maryland Medical System is seeking a Case Manager to provide care coordination and discharge planning for an assigned patient caseload. Under general supervision, you will assess patient needs, coordinate plans of care, and monitor outcomes across the continuum of care.

Responsibilities include multidisciplinary collaboration with physicians, nursing, social work, and other departments; development of discharge plans; ensuring timely authorizations; and supporting efforts to reduce

Qualifications

• Licensure as a Registered Nurse in Maryland is required.
• Two years of Acute Care hospital experience preferred.

Responsibilities

• Assess assigned patients and determine appropriate level of care upon disposition.
• Coordinate and implement Discharge Plan A and alternative Plan B with documentation.
• Collaborate with physicians, nursing, social work, and other disciplines to remove barriers to care.
• Lead care management rounds and contribute to performance improvement.
• Ensure timely authorizations and reduce avoidable days.

Skills

Discharge planning

Case management

Care coordination

Communication

Documentation

Team collaboration

Analytical skills

Leadership in rounds

Education

Maryland RN license

Tools

EMR systems

Utilization Management software

Job description

• This position comes with a $10,000 Sign-On Bonus**

Job Requirements

• This position comes with a $10,000 Sign-On Bonus**

General Summary

Under general supervision of the Manager of Case Management, the Case Manager provides care coordination and discharge planning for an assigned patient case load. The Case Manager will assess individual patient’s needs, coordinate and implement plans of care and monitor and evaluate outcomes across the continuum of care.

Principal Responsibilities And Tasks

• Assesses assigned patients and integrates psycho social assessment within the multidisciplinary team. Works collaboratively with the multi-disciplinary team to determine potential and actual risks to recovery and formulates plan to determine appropriate level of care upon disposition from the acute care setting.
• Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B, including documentation in the medical record
• Multidisciplinary collaboration with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
• Facilitates timely transition plan
• Active leadership role in the ongoing management of inpatient length of stay and the reduction of readmissions across the organization
• Integrates work with ambulatory and clinic transitional case managers
• Leadership in care management rounds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care
• Develops and implements corrective action plans for resolution of complex problematic issues and elevates to leads as necessary
• Ensures authorizations have been completed in a timely manner
• Collaborates with Utilization Management and synthesizes information in order to reduce avoidable days
• Collaborates with Physician Advisor for complex issues
• Guides physicians in appropriate clinical documentation
• Actively participates in clinical performance improvement activities as assigned
• Builds a network of positive working relationships that advocate for the patient
• Remains current on clinical practice and protocols impacting clinical reimbursement

Knowledge, Skills And Abilities

• Knowledge of managed care, discharge planning and case management is required.
• Highly effective verbal and written skills are required.
• Strong communication skills, self confidence and experience dealing physicians required.
• Excellent analytical and team building skills, as well as the ability to prioritize and work independently is required.
• Must possess the ability to work collaboratively with other disciplines.
• Ability to work with Hospital/Case Management related software programs required.
• Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.

Patient Safety

Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.

• Takes action to correct observed risks to patient safety.
• Reports adverse events and near misses to appropriate management authority.
• Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

Education And Experience

• Licensure as a Registered Nurse or equivalent health care license in the state of Maryland required.
• Two (2) years of Acute Care in a hospital setting preferred.

Additional Information

• All you're information will be kept confidential according to EEO guidelines.
• Work Schedule: Mon through Friday 8a-4:30p including weekend & on call
• This position is awarded with a $10,000 Sign-On Bonus along with compensation that is commensurate with experience.