RN Inpatient Case Manager

MedStar Health; Rosedale (MD); On-site; USD 89,865 - 162,801; Full time

Job summary

MedStar Health is seeking a Registered Nurse Case Manager to join the case management team. You will apply clinical nursing expertise to care coordination, discharge planning, and resource utilization from pre-admission through post-discharge.

The role focuses on achieving optimal patient outcomes and cost-effective care across the acute and post-hospital phases. You will collaborate with the interdisciplinary team, monitor progress, and ensure plans address psychosocial and financial needs

Qualifications

• Associate's degree in Nursing (ADN) required.
• Bachelor's degree in Nursing (BSN) preferred.
• 3-4 years clinical experience required and 1-2 years case management experience preferred.
• RN licensure in DC or MD per work location; CCM certification preferred.

Responsibilities

• Collaborate with the multidisciplinary team to develop and coordinate the plan of care.
• Manage a caseload and identify resources needed to implement the plan of care.
• Document and assess patient responses; modify the plan of care as needed.
• Ensure compliance with regulatory requirements and reimbursement mechanisms.

Skills

Communication skills

Interpersonal skills

Team collaboration

Critical thinking

Data analysis

Education

ADN

BSN preferred

Tools

EMR software

Microsoft Excel

Microsoft Word

PowerPoint

Job description

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 and
• Bachelor's degree in Nursing (BSN) preferred

Experience

• 3-4 years 2 to 3 years of clinical experience required and
• 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 Upon Hire required and
• CCM - Certified Case Manager Upon Hire preferred

Knowledge Skills and Abilities

• Ability to use computer to enter and retrieve data.
• Working knowledge of Microsoft Word Excel and PowerPoint applications.
• Effective verbal and written communication skills.
• Must be able to run and analyze departmental productivity reports.
• Excellent interpersonal skills required.

Hiring Range

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