RN Case Manager: Care Transitions

Luminis Health; Lanham (MD); On-site; USD 48,216 - 68,880; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Paid Time Off

Tuition Assistance

Employee Referral Bonus

Paid Holidays

Disability Insurance

Life Insurance

Job summary

Luminis Health is seeking a Case Manager to coordinate care for patients, ensuring safe and timely transitions across the continuum. You will assess, plan, implement and evaluate care using a collaborative process, applying guidelines to determine initial and ongoing levels of care and submitting reviews to insurers as needed.

Requirements include a Maryland RN license and 3+ years in a clinical setting; BSN/ADN with equivalence and Epic proficiency are preferred.

Qualifications

• BSN or ADN with equivalent experience required.
• Three years of clinical experience in ambulatory or post-acute settings preferred.
• Care coordination experience preferred; RN licensure required in Maryland.

Responsibilities

• Identify and prioritize patients needing care management.
• Promote patient engagement and adherence using motivational strategies.
• Apply evidence-based guidelines to determine level of care and initiate appropriate reviews.
• Manage observation stays and coordinate transitions to inpatient or discharge.
• Develop transition plans for home health, hospice, or post-acute providers.
• Maintain clear, thorough documentation in patient records; initiate referrals as needed.
• Participate in care management process improvements and outcomes projects.
• Collaborate with care teams to address social determinants and barriers.
• Utilize risk tools to prevent readmission and ensure timely follow-up.

Skills

Care coordination

Patient advocacy

Multidisciplinary collaboration

Documentation

Education

BSN or ADN with equivalent experience

BSN within 5 years

Tools

Epic

Job description

Luminis Health is seeking a Case Manager to coordinate care for patients, ensuring safe and timely transitions across the continuum. You will assess, plan, implement and evaluate care using a collaborative process, applying guidelines to determine initial and ongoing levels of care and submitting reviews to insurers as needed.

Requirements include a Maryland RN license and 3+ years in a clinical setting; BSN/ADN with equivalence and Epic proficiency are preferred.