Registered Nurse Senior- Case Management

Holy Cross; Silver Spring (MD); On-site; USD 57,000 - 89,000; Full time

Benefits offered by this job

Medical benefits

Dental and Vision

403B

Education assistance

Pet insurance

Job summary

Holy Cross Health in Silver Spring seeks a Nurse Senior- Case Management to lead care coordination, monitor resource use, and ensure accurate documentation for post-hospital planning to optimize outcomes and costs.

You will apply Interqual criteria, document with MIDAS, coordinate with physicians, and drive discharge planning. A Maryland RN license and 3+ years acute care experience are required. We offer comprehensive benefits and parking.

Qualifications

• RN licensed by the State of Maryland.
• Bachelor's Degree preferred.
• Certification in Case Management preferred.
• At least three years acute care experience; utilization, discharge planning and clinical documentation experience preferred.
• Strong written and verbal communication; computer literacy and analytics required.

Responsibilities

• Uses Interqual Criteria to review admission and continued stay.
• Documents severity and service data to support admissions.
• Communicates with physicians regarding LOC concerns and transfers.
• Engages with Physician Advisor and utilizes MIDAS.
• Documents diagnoses and discharge planning assessments timely.

Skills

RN license

Case management

Communication skills

Computer literacy

Analytical skills

Interpersonal skills

Education

Bachelor's degree

Tools

MIDAS

Interqual Criteria

Job description

Employment Type:Full time Shift:Day Shift Description:Job Title: Registered Nurse Senior- Case Management Employment Type: Full-time Shift: Day Location: Silver Spring

Position Purpose

Implements case management activities for all age groups that promote continuous improvement in the coordination of care; monitors and manages clinical resource consumption; ensures clinical documentation is accurate; provides continuity of care and post hospital planning in order to optimize cost efficient resource utilization and maximum reimbursement.

Role Overview

As a "Nurse Senior- Case Management" you will:

• Utilizes Interqual Criteria to concurrently review cases for appropriateness of admission and continued stay.
• Documents timely the specific data (Severity of Illness and Intensity of Service) to support admission/continued stay in the URE module.
• Interacts with physicians regarding LOC concerns and facilitates transfer of patients to more appropriate LOC as needed.
• Refers to Physician Advisor (PA) and initiates PA recommendations.
• Demonstrates competency with automated review system (MIDAS) as evidenced by correct use of all implemented modules.
• Documents concurrent primary and secondary diagnoses on admission review, every three days, and/or as patient's condition changes.
• Demonstrates adequate communication with the patient, the patient's family (when appropriate) and other members of the health care team.
• Consistently demonstrates thorough and timely documentation of initial discharge planning assessments including Assessment Flow sheet and Plan of Care.

Minimum Qualifications

• RN licensed by the State of Maryland.
• Bachelor's Degree preferred.
• Certification in Case Management preferred.
• At least three years acute care experience required; Utilization/Quality Management, Discharge Planning and/or Clinical Documentation enhancement experience preferred.
• Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.
• Highly articulate with strong written and verbal communication skills.
• Computer literacy and analytic skills required.
• Able to communicate effectively, demonstrating good audio and visual acuity.
• Demonstrated ability to work with all age groups of patients (birth to geriatric).

Pay Range

Pay Range: $41.46 - $64.31 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. FT/PT Benefit eligible Roles: 0.4 FTE (16 hours weekly) up to 1.0 FTE (40 hours weekly)

Position Highlights and Benefits

Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment. Work/Life balance with flexible schedules. Free onsite parking. Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all. Referral Rewards Program

Position Highlights:Work/Life balance with flexible schedules. Free onsite parking. Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all. Referral Rewards Program

Holy Cross Health Overview

Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George's, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health's high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.

Equal Employment Opportunity Statement

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.