Case Manager (RN) - Part Time weekends

ClickJobs.io; Annapolis (MD); On-site; USD 100,000 - 125,000; Part time

Job summary

A leading healthcare provider in Annapolis is seeking a Case Manager (RN) to coordinate patient care. This part-time role involves working weekends and engaging with patients to ensure seamless transitions across care settings. The ideal candidate will have a nursing degree and experience in care coordination, with a focus on improving patient outcomes through evidence-based practices. Benefits include medical insurance, retirement plans, and paid time off.

Benefits

Medical, Dental, and Vision Insurance

Retirement Plan

Paid Time Off

Tuition Assistance

Employee Referral Bonus Program

Wellness Programs

Qualifications

• Three years of experience in a clinical setting required.
• Current RN licensure by the Maryland Board of Nursing.

Responsibilities

• Identify and prioritize patients needing care management services.
• Implement strategies to promote patient engagement and self-care.
• Maintain compliance with regulatory standards.

Skills

Care Coordination

Patient Engagement

Evidence-Based Guidelines

Education

BSN or ADN

Tools

Epic

InterQual

Job description

Case Manager (RN)

Anne Arundel Medical Center, Annapolis, MD

Part Time (16 hours/week) - Day shift (8:00am-4:30pm, Sat/Sun only)

* Employee will work holidays that fall on 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, they 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 overall wellbeing. They promote the right resources, at the right time and at the right level of care, and are responsible for engaging and supporting patients in need of care management services. They determine, using evidence-based guidelines, the correct initial and ongoing level of care for patients and submit appropriate denial reviews for Medicare, Medicaid, and commercial insurers.

Essential Job Duties:

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

1. Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; uses a multidisciplinary approach to assess and plan for care needs.
2. Implements strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal health and wellbeing.
3. Utilizes evidence-based guidelines (such as InterQual) 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, and refers cases to Physician Advisor as appropriate.
4. Manages observation stay patients assertively, ensuring timely testing, treatment, and conversion to inpatient status or discharge.
5. Develops and coordinates transition plans for patients transitioned to home with home health, community care, Hospice, Palliative care, home infusion, and post-acute providers; completes all necessary documentation and handovers. Involves and prepares patients and families for transitions from the ED, Peds, Clatanoff, or Observation units as indicated.
6. Maintains clear and concise documentation in each patient record reflecting physical and functional limitations, psychosocial characteristics, educational needs, family/social support systems, financial and economic factors, and transition needs. Initiates referrals to relevant disciplines.
7. Participates in clinical outcome projects and process improvement initiatives within care management.
8. Identifies situations requiring referral to other healthcare team members such as infection control, risk management, or quality management. Ensures care plans are adjusted as needed and follow-up occurs, keeping leadership informed of potential issues.
9. Utilizes risk and predictive analytic tools like the readmission risk tool, applying tailored interventions to mitigate barriers, prevent prolonged hospital stays, and reduce readmissions.
10. 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.

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

Care coordination experience preferred.

Licensure/Certification:

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 a reasonable expectation of exposure to blood-borne pathogens.

Physical Demands: Medium work.

The physical demands and work environment described are representative of those encountered while performing essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions in accordance with the Americans with Disabilities Act.

The above job description provides an overview of the position's functions and requirements. It is not exhaustive, and additional duties may be assigned as necessary by your supervisor.

Luminis Health Benefits Overview:

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees working more than 1000 hours/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 depend on employment status.