Registered Nurse ( RN ) Inpatient Case Manager

MedStar Health’s Washington Hospital Center; Clinton, Northern (MD, KY); On-site; USD 89,000 - 163,000; Full time

Job summary

MedStar Health’s Washington Hospital Center in Maryland is seeking a Registered Nurse with case management expertise to coordinate care from pre-admission through post-discharge, ensuring quality, cost-effective, patient-centered outcomes.

You will collaborate with the multidisciplinary team, develop and monitor care plans, address psychosocial and financial needs, and ensure compliance with regulatory and reimbursement requirements.

Qualifications

• ADN is required; BSN preferred.
• 2-3 years of clinical experience.
• 1-2 years case management experience preferred.
• Active RN license in DC or MD depending on work location.

Responsibilities

• Contributes to department goals while adhering to policies, procedures, and safety standards.
• Collaborates with the health care team to develop and coordinate the plan of care.
• Communicates with patient/family and care team to address goals.
• Develops and documents a comprehensive care plan with short/long-term goals.
• Evaluates patient response and modifies the plan accordingly; maintains confidentiality.
• Manages regulatory knowledge and Medicare/Medicaid reimbursement requirements.
• Manages caseload and identifies resources to implement the plan of care.
• Participates in performance and service improvement initiatives.
• Performs comprehensive assessments with the interdisciplinary team.

Skills

RN clinical skills

Communication

Case management

Data entry

Microsoft Word

Education

Associate's degree in Nursing (ADN)

Bachelor's degree in Nursing (BSN) preferred

Tools

Excel

PowerPoint

MS Word

EMR systems

Job description

About the Job

Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
• Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
• Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
• Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
• Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
• Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
• Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
• Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
• Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
• Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.

Minimal Qualifications

Education

• Associate's degree in Nursing (ADN) required
• Bachelor's degree in Nursing (BSN) preferred

Experience

• 2-3 years of clinical experience required
• 1-2 years case management experience preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland depending on work location required
• CCM - Certified Case Manager preferred

Knowledge Skills and Abilities

• Ability to use computer to enter and retrieve data.
• Working knowledge of Microsoft Word Excel and PowerPoint applications.
• Effective verbal and written communication skills.
• Must be able to run and analyze departmental productivity reports.
• Excellent interpersonal skills required.

This position has a hiring range of

USD $89,065.00 - USD $162,801.00 /Yr.