RN Case Manager: Care Transitions Leader

Johns Hopkins Intrastaff; Baltimore (MD); On-site; USD 90,000 - 115,000; Full time

Job summary

Johns Hopkins Intrastaff, a unit within the Johns Hopkins Health System, seeks a Case Manager to lead patient-centered transitions from pre-admission through post-discharge. The role collaborates with patients, families, social workers, physicians, and the care team to coordinate resources and remove barriers to safe, timely care.

The position requires Maryland nursing licensure and 5–7 years of nursing experience; ACM-RN/ CCM certification is preferred.

Qualifications

• Valid Maryland nursing license.
• ACM-RN or CCM certification preferred.
• Five to seven years of nursing experience.
• At least one year in case management, discharge planning, or utilization review.

Responsibilities

• Develops sustainable discharge plans in collaboration with patients/families and interdisciplinary care team.
• Coordinates transition planning from pre-admission to post-discharge to optimize care.
• Collaborates with care team to ensure plans meet quality and cost outcomes.
• Leads multidisciplinary rounds and communicates handoffs.
• Maintains documentation in medical records and care-management files.
• Identifies high-risk situations and barriers to readmission, and works to mitigate them.

Skills

Communication skills

Problem solving

Adaptability

EMR proficiency

Collaboration

Education

BSN

MSN preferred

Job description

Johns Hopkins Intrastaff, a unit within the Johns Hopkins Health System, seeks a Case Manager to lead patient-centered transitions from pre-admission through post-discharge. The role collaborates with patients, families, social workers, physicians, and the care team to coordinate resources and remove barriers to safe, timely care.

The position requires Maryland nursing licensure and 5–7 years of nursing experience; ACM-RN/ CCM certification is preferred.