Case Manager (RN) - Part Time

RemoteWorker US; Lanham (MD); On-site; USD 30,000 - 65,000; Part time

Job summary

A leading healthcare provider seeks a part-time Case Manager (RN) in Lanham, MD, responsible for patient care coordination, ensuring transitions between services are seamless. The role emphasizes patient engagement and adherence to care plans, requiring a BSN or ADN with three years of clinical experience. Competitive pay with a $5000 sign-on bonus offered.

Benefits

Medical, Dental, and Vision Insurance

Retirement Plan with employer match

Paid Time Off

Tuition Assistance Benefits

Employee Referral Bonus Program

Wellness Programs

Qualifications

• BSN must be achieved within 5 years of start date.
• Three years experience in a clinical setting required.

Responsibilities

• Coordinates care for patients to ensure timely transitions across services.
• Maintains documentation to reflect patient needs and oversees care management.

Skills

Care Coordination

Patient Engagement

Motivational Interviewing

Clinical Assessment

Education

BSN or ADN

Job description

3 days ago Be among the first 25 applicants

Case Manager (RN)

Part Time (16 hours/week) - Day shift (8am-5pm, weekends)

Position Objective

The Case Manager works under the direction of the clinical director of care management, providing coordination of care for patients at Anne Arundel Medical Center to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, will identify (using quantitative and qualitative methods), assess, plan, implement and evaluate the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. Promotes the right resources, at the right time and at the right level of care and is responsible for engaging and supporting patients that are in need of care management services; is able to determine, using evidence based guidelines, the correct initial and ongoing level of care for patients and is able to submit appropriate denial review for Medicare, Medicaid and commercial insurers.

Essential Job Duties

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Identifies and prioritizes patient in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; uses a multi discoplinary approach to assess/plan for care needs.
• Identifies and implements strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being.
• Utilizes evidenced based guidelines (such as InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease variation and mitigate waste. Verifies appropriate level of care; enters clinical review and authorized days in Epic; documents actions to avoid denied days; refers cases to Physcian Advisor as appropriate.
• Manages observation stay patients assertively and ensures timely testing, treatment and conversion to inpatient status or discharge.
• Develops and coordinates transition plans for patients transitioned to home with home health, community care coordination program, Hospice or Palliative care, home infusion and routine sub-acute and skilled post-acute providers; completes all necessary documentation and necessary handovers. Involves and prepares patients and families for transition from the ED, Peds, Clatanoff or Observation unit as indicated.
• Maintains clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient & family, family/social support systems, financial, economic, and transition needs. Initiates referrals to disciplines as indicated.
• Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
• Identifies potential or current patient situations which require referral to other members of the health care team such as infection control, risk management, or quality management. Assures plan of care is adjusted as appropriate and that follow-up occurs. Keep leadership abreast of potential issues.
• Utilizes all risk and predictive analytic tools such as the readmission risk tool. Applies tailored interventions to mitigate potential barriers or risk, prolonged unnecessary hospitalization and readmission prevention.
• Maintains compliance with all regulatory standards (CMS, commercial insurers etc)
  
  

Case Manager (RN)

Doctors Community Medical Center, Lanham, MD

Part Time (16 hours/week) - Day shift (8am-5pm, weekends)

Position Objective

The Case Manager works under the direction of the clinical director of care management, providing coordination of care for patients at Anne Arundel Medical Center to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, will identify (using quantitative and qualitative methods), assess, plan, implement and evaluate the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. Promotes the right resources, at the right time and at the right level of care and is responsible for engaging and supporting patients that are in need of care management services; is able to determine, using evidence based guidelines, the correct initial and ongoing level of care for patients and is able to submit appropriate denial review for Medicare, Medicaid and commercial insurers.

Essential Job Duties

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Identifies and prioritizes patient in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; uses a multi discoplinary approach to assess/plan for care needs.
• Identifies and implements strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being.
• Utilizes evidenced based guidelines (such as InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease variation and mitigate waste. Verifies appropriate level of care; enters clinical review and authorized days in Epic; documents actions to avoid denied days; refers cases to Physcian Advisor as appropriate.
• Manages observation stay patients assertively and ensures timely testing, treatment and conversion to inpatient status or discharge.
• Develops and coordinates transition plans for patients transitioned to home with home health, community care coordination program, Hospice or Palliative care, home infusion and routine sub-acute and skilled post-acute providers; completes all necessary documentation and necessary handovers. Involves and prepares patients and families for transition from the ED, Peds, Clatanoff or Observation unit as indicated.
• Maintains clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient & family, family/social support systems, financial, economic, and transition needs. Initiates referrals to disciplines as indicated.
• Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
• Identifies potential or current patient situations which require referral to other members of the health care team such as infection control, risk management, or quality management. Assures plan of care is adjusted as appropriate and that follow-up occurs. Keep leadership abreast of potential issues.
• Utilizes all risk and predictive analytic tools such as the readmission risk tool. Applies tailored interventions to mitigate potential barriers or risk, prolonged unnecessary hospitalization and readmission prevention.
• Maintains compliance with all regulatory standards (CMS, commercial insurers etc)
  
  

Educational/Experience Requirements

BSN or ADN with equivalent experience. BSN must be achieved within 5 years of start date in the role

Three years of experience in a clinical setting, ambulatory or post-acute.

Licensure/Certification

Care coordination experience preferred.

Current licensure as a registered nurse by the Maryland Board of Nursing.

Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws.

Working Conditions, Equipment, Physical Demands

There is reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands - Medium work

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Luminis Health Benefits Overview

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Eligible for shift differentials/OT
• Employee Assistance Programs and more
• Benefit offerings based on employment status

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

• Industries

  Staffing and Recruiting

Referrals increase your chances of interviewing at RemoteWorker US by 2x

Get notified about new Case Management Nurse jobs in Lanham, MD.

Registered Nurse - Home Health Case Manager

Registered Nurse (RN) Part Time - $5000 Sign on Bonus

Washington, DC $61,470.00-$130,000.00 1 month ago

Registered Nurse - Behavioral Health Case Manager

Annapolis, MD $60,000.00-$121,000.00 5 months ago

Washington, DC $61,000.00-$130,000.00 1 week ago

Silver Spring, MD $60,420.00-$106,040.00 1 month ago

Washington, DC $61,000.00-$130,000.00 2 months ago

Registered Nurse, School Health (12 Month)

Registered Nurse (Non-Practicing) (Bethesda, MD)

Annapolis, MD $60,000.00-$121,000.00 5 months ago

Washington, DC $61,000.00-$130,000.00 2 months ago

Clinton, MD $1,876.99-$1,876.99 2 weeks ago

Registered Nurse - Behavioral Health Educator

Registered Nurse Case Manager/RN - Part time

Registered Nurse (RN), PreOp, $20K Sign on Bonus

Registered Nurse Labor Delivery Recovery Postpartum (LDRP)

Registered Nurse - Behavioral Health Educator

Registered Nurse - Occupational Health Center

Registered Nurse/Licensed Practical Nurse with one year of Pediatric experience holding Compact Nursing License for MD and VA interested in Private Duty Nursing shifts

Staff - Registered Nurse (RN) - Pediatrics - $36-52 per hour

CASE MANAGER/UTILIZATION REVIEW RN (FULL TIME) 10K SIGN ON

Registered Nurse (RN) - Behavioral Health Unit

Washington, DC $2,076.00-$2,229.00 4 days ago

Crownsville, MD $30.00-$45.50 13 hours ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.