RN Care Manager: Discharge & Care Coordination Pro

GBMC HealthCare; Baltimore (MD); On-site; USD 68,000 - 110,000; Full time

Job summary

GBMC HealthCare in Baltimore, MD seeks a Registered Nurse in Case Management to coordinate inpatient care, discharge planning, and utilization review. Requires a BSN or ASN with BSN enrollment and 2+ years in case management, including discharge planning and readmission initiatives.

Strong communication and critical-thinking skills are essential. Role involves collaboration with interdisciplinary teams, payers, and physicians to optimize patient outcomes and reimbursement.

Qualifications

• BSN or ASN with BSN enrollment and expected graduation within 3 years.
• 2+ years of Case Management including Discharge Planning and Re-Admission Initiatives.
• Diversified, progressive acute care experience preferred.
• Knowledge of care management theories, principles, and standards.
• Advanced oral and written communication skills.
• Ability to resolve complex problems and stay calm under pressure.
• Ability to assess discharge needs for patients.

Responsibilities

• Assess patients within a defined caseload to identify clinical status, needs, resources, and goals.
• Review admission and continued stay criteria for defined patients and plan care with payer/clinical guidelines.
• Identify and coordinate discharge needs, referrals, and community resources for implementation.
• Coordinate services with managed care and third-party payers; ensure timely authorizations.
• Educate physician, nursing, and ancillary staff on care management and documentation requirements.
• Lead or participate in health care team meetings to coordinate care and discharge planning.

Skills

Case management

Discharge planning

Re-admission initiatives

Critical thinking

Communication

Interdisciplinary collaboration

Education

BSN or ASN with BSN enrollment

Tools

Electronic Health Records (EHR)

Job description

GBMC HealthCare in Baltimore, MD seeks a Registered Nurse in Case Management to coordinate inpatient care, discharge planning, and utilization review. Requires a BSN or ASN with BSN enrollment and 2+ years in case management, including discharge planning and readmission initiatives.

Strong communication and critical-thinking skills are essential. Role involves collaboration with interdisciplinary teams, payers, and physicians to optimize patient outcomes and reimbursement.