RN Case Manager (Discharge Planner)

MedStar Health; Washington (District of Columbia); On-site; USD 89,065 - 162,801; Full time

Job summary

MedStar Health is seeking a Registered Nurse case manager to coordinate care from pre-admission through post-discharge, applying clinical expertise to ensure quality, cost-effective, patient-centered care.

The role emphasizes developing care plans, collaborating with the care team, and managing resources to achieve optimal outcomes across the acute and post-hospital phases.

Qualifications

• ADN required.
• BSN preferred.
• 2-3 years of clinical experience required.
• 1-2 years case management experience preferred.
• RN licensure in District of Columbia or Maryland required.
• CCM certification preferred.

Responsibilities

• Collaborate with the multidisciplinary health care team to develop and coordinate the plan of care.
• Communicate with patient, family, and health care team to address goals and issues.
• Develop and monitor a comprehensive plan of care across the continuum.
• Assess and document patient responses and modify the plan as needed.
• Maintain knowledge of Medicare/Medicaid reimbursement methods and regulatory requirements.
• Manage a caseload and coordinate resources for care transitions.

Skills

Case management

Nursing

Team collaboration

Communication

Education

ADN

BSN

Job description

About the Job

General Summary of Position

Serves as a member of the Case Management Team and applies RN clinical expertise and medical appropriateness to care coordination and discharge planning. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
• Communicates with patient family and/or significant other health care team external case manager community resources and facility to address appropriate issues and patient/family goals.
• Demonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives.
• Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendations for modifications to the plan of care as indicated. Adheres to all policies and procedures regarding documentation and confidentiality of information.
• Maintains knowledge of regulatory agencies' requirements necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels of care.
• Manages a caseload of patients. Identifies essential resources needed to implement the plan of care.
• Manages own professional growth in the area of managed care care management other health care financial trends clinical practice and research.
• Manages patient care according to multidisciplinary plan of care and/or managed care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes.
• Participates in Performance and Service Improvement teams. Assists in program evaluation through customer service surveys LOS data analysis charge/discharge data comparison to state averages and best practice/benchmark data.
• Performs a comprehensive assessment in collaboration with interdisciplinary team to identify patient-specific problems and needs related to diagnosis treatment including psychosocial and financial concerns as well as medical.

Minimal Qualifications
Education

• Associate's degree in Nursing (ADN) required
• Bachelor's degree in Nursing (BSN) preferred

Experience

• 2-3 years of clinical experience required
• 1-2 years case management experience preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia or Maryland depending on work location required
• CCM - Certified Case Manager preferred

This position has a hiring range of

USD $89,065.00 - USD $162,801.00 /Yr.