Registered Nurse Senior- Case Management

Trinity Health; Silver Spring (MD); On-site; USD 56,000 - 88,000; Full time

Benefits offered by this job

Comprehensive benefit packages

Free onsite parking

Flexible schedules

Referral rewards program

Job summary

Trinity Health's Holy Cross Health in Silver Spring, MD seeks a Registered Nurse Senior - Case Management to lead patient-centered care coordination. The role focuses on coordinating care across ages, monitoring resource use, documenting accurately, and planning post-hospital care to optimize outcomes and costs.

Requirements include Maryland RN licensure, a Bachelor's degree preferred, and Case Management certification preferred, with at least three years of acute care experience and strong

Qualifications

• RN licensed by Maryland.
• Bachelor's degree preferred.
• Case Management certification preferred.
• At least three years acute care experience.
• Experience with Utilization/Quality Management and Discharge Planning.
• Knowledge of hospital operations, reimbursement and regulatory matters.
• Strong written and verbal communication.
• Computer literacy and analytic skills.
• Able to work with patients across all ages.

Responsibilities

• Utilizes Interqual Criteria to review admission and continued stay.
• Documents data (Severity of Illness and Intensity of Service) in MIDAS.
• Collaborates with physicians on LOC concerns and transfers.
• Refs to Physician Advisor and initiates recommendations.
• Demonstrates competency with the MIDAS system.
• Documents diagnoses on admission review and during changes.
• Communicates with patient, family, and care team.
• Documents discharge planning assessments and plans of care.

Skills

Written communication

Verbal communication

Analytical skills

Computer literacy

Education

Maryland RN license

Bachelor's degree preferred

Case Management certification preferred

Tools

MIDAS

Job description

Registered Nurse Senior- Case Management

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.

Responsibilities

• 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.
• Refs 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

$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

Holy Cross Health

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

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.

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.

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.

Trinity Health Overview

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.