MedStar Southern Maryland Hospital Center

RN Inpatient Case Manager

MedStar Southern Maryland Hospital Center • $89K — $162K *
Baltimore, MD 21215In-Person
Healthcare
Less than 5 years of experience
Reposted Today
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Job Overview by Ladders

Qualifications

  • Associate's degree in Nursing (ADN) required; Bachelor's degree in Nursing (BSN) preferred
  • 3-4 years of clinical experience required; 1-2 years of case management preferred
  • Current RN license in the applicable state or Compact State Licensure
  • CCM certification preferred
  • Strong proficiency in Microsoft Office, particularly Word, Excel, and PowerPoint
  • Effective verbal and written communication skills
  • Demonstrated ability to analyze departmental productivity reports

Responsibilities

  • Contribute to departmental goals, adhering to policies and quality standards
  • Collaborate with a multidisciplinary team to design care plans
  • Facilitate communication between patients, families, and healthcare teams
  • Develop comprehensive care plans covering psychosocial, financial, and clinical needs
  • Evaluate patient responses to care plans and document outcomes
  • Stay informed about regulatory requirements and Medicare/Medicaid criteria
  • Manage patient caseloads effectively to optimize care outcomes

Benefits

  • Opportunities for professional development and growth
  • Supportive multidisciplinary team environment
  • Focus on patient-centered care
  • Engagement in performance improvement initiatives
  • Access to regulatory compliance and best practices resources
Full 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.

    This position has a hiring range of

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

    About MedStar Southern Maryland Hospital Center

    MedStar Southern Maryland Hospital Center is a medical facility located in Clinton, Maryland. It is a 192-bed acute care hospital that provides a range of services including emergency care, cardiology, cancer care, orthopedics, and women's health. The hospital is part of the MedStar Health system, which is the largest healthcare provider in Maryland and the Washington, D.C. region. MedStar Southern Maryland Hospital Center is committed to providing high-quality, compassionate care to its patients and improving the health of the communities it serves.
    Learn more about MedStar Southern Maryland Hospital Center
    Size
    1,200 employees
    Industry
    Healthcare
    * Ladders Estimates

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