Case Manager II, 10,000 Sign-On Bonus

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profile Job Location:

Baltimore, MD - USA

profile Monthly Salary: Not Disclosed
Posted on: 11 hours ago
Vacancies: 1 Vacancy

Job Summary

I.    General Summary

Under general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evaluate outcomes across the continuum of care.

II.    Principal Responsibilities and Tasks

1.    The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

    Assesses assigned patients and integrates psycho social assessment within the multidisciplinary team. Works collaboratively with the multi-disciplinary team to determine potential and actual risks to recovery and formulates plan to determine appropriate level of care upon disposition from the acute care setting. 
    Accountable for developing and coordinating the implementation of Discharge Plan A and alternative Plan B including documentation in the medical record
    Multidisciplinary collaboration with physicians nursing social work and multiple disciplines departments payers and agencies to eliminate barriers to efficient delivery of care in the appropriate setting
    Facilitates timely transition plan
    Active leadership role in the ongoing management of inpatient length of stay and the reduction of readmissions across the organization
    Integrates work with ambulatory and clinic transitional case managers
    Leadership in care management rounds interprets and integrates the patients story into the overall multidisciplinary plan of care
    Develops and implements corrective action plans for resolution of complex problematic issues and elevates to leads as necessary
    Ensures authorizations have been completed in a timely manner
    Collaborates with Utilization Management and synthesizes information in order to reduce avoidable days
    Collaborates with Physician Advisor for complex issues
    Guides physicians in appropriate clinical documentation
    Actively participates in clinical performance improvement activities as assigned
    Builds a network of positive working relationships that advocate for the patient
    Remains current on clinical practice and protocols impacting clinical reimbursement
    Participates in department improvement initiatives
    Serves to orient and educate Case Manager 1s to departmental practices
    Provides oversight and education to case management interns placed in the practice area


Qualifications :

III.    Education and Experience    

1.    Licensure as a Registered Nurse or other equivalent health care license in the state of Maryland required. 
2.    A minimum of 12 months of experience as a case manager is required.

IV.    Knowledge Skills and Abilities
1.    Knowledge of managed care discharge planning and case management is required.  
2.    Highly effective verbal and written skills are required.
3.    Strong communication skills self confidence and experience dealing physicians required.  
4.    Excellent analytical and team building skills as well as the ability to prioritize and work independently is required.  
5.    Must possess the ability to work collaboratively with other disciplines. 
6.    Ability to work with Hospital/Case Management related software programs required.
7.    Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served.  Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patients requirements relative to his or her population-specific and age specific needs.    


V.     Patient Safety
Ensures patient safety in the performance of job functions and through participation in hospital department or unit patient safety initiatives.

1.    Takes action to correct observed risks to patient safety.

2.    Reports adverse events and near misses to appropriate management authority.

3.    Identifies possible risks in processes procedures devices and communicates the same to those in charge.


Additional Information :

All your information will be kept confidential according to EEO guidelines.

Compensation:

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Remote Work :

No


Employment Type :

Full-time

I.    General SummaryUnder general supervision of the Manager of Case Management the Case Manager provides care coordination and discharge planning for an assigned patient case load.  The Case Manager will assess individual patients needs coordinate and implement plans of care and monitor and evalua...
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Key Skills

  • Project Portfolio Management
  • Motivational Interviewing
  • HIPAA
  • Computer Skills
  • Intake Experience
  • Lean Six Sigma
  • Conflict Management
  • Case Management
  • Team Management
  • Program Development
  • Social Work
  • Addiction Counseling

About Company

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When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes conv ... View more

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