RN Case Manager - Discharge & Care Coordination

Mercy Medical Center, Baltimore, MD; Baltimore (MD); On-site; USD 50,971 - 90,921; Full time

Benefits offered by this job

Health benefits

403(b) retirement plan

Paid time off

Tuition reimbursement

Mental health resources

Disability benefits

Discounts

Rewards program

Job summary

Mercy Medical Center, Baltimore, MD is hiring an RN Case Manager to assess, coordinate, and monitor patient care plans. The role collaborates with physicians, social workers, and staff to ensure efficient discharge planning and appropriate resource use.

Responsibilities include managing LOS and denials, performing daily utilization reviews, and advocating for patient access to needed services while maintaining comprehensive documentation.

Qualifications

• Must possess a degree in Nursing.
• Valid RN License.
• 3 years in the clinical setting; Medical/Surgical experience preferred.
• Managed care experience preferred.
• Case management experience preferred.
• Utilization review skills using MCG preferred.

Responsibilities

• Assess and plan to meet individual healthcare needs, coordinating with physicians and staff.
• Oversee discharge planning and inpatient LOS and denials management.
• Conduct daily utilization reviews and monitor resource use.
• Advocate for clients' rights and access to resources; maintain detailed records.

Skills

Case management

Utilization review

Discharge planning

Clinical setting experience

Education

Nursing degree

Tools

MCG utilization review

Job description

Mercy Medical Center, Baltimore, MD is hiring an RN Case Manager to assess, coordinate, and monitor patient care plans. The role collaborates with physicians, social workers, and staff to ensure efficient discharge planning and appropriate resource use.

Responsibilities include managing LOS and denials, performing daily utilization reviews, and advocating for patient access to needed services while maintaining comprehensive documentation.