Case Manager (RN) / UMMC

Apply Now    
Job ID: 53586
Area of Interest: Nursing
Location: Baltimore, MD US
Hours of Work: Mon- Fri with occasional weekends
Job Facility: University of Maryland Medical Center
Employment Type: Full Time
What You Will Do:

The University of Maryland Medical Center is currently seeking a Case Manager with a desire to join our Team. Located at the University Of Maryland Medical Center (UMMC) in downtown Baltimore near the Inner Harbor and Camden Yards; you won't find a more vibrant place to work! 

***MD licensed RN and BSN REQUIRED. 
Shift: M-F days (with) occasional weekends 

Principal Responsibilities and Tasks
• 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 patient’s 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


What You Need to Be Successful:

  • Bachelor’s in Nursing or active pursuit of BSN required. 
  • Licensure as a Registered Nurse in the state of Maryland required. Certified Case Manager (CCM) is preferred. 
  • One year of experience in case management and knowledge of payer mechanisms is preferred. 
  • Two years experience in acute care required, four years clinical healthcare experience preferred. 
  • Additional experience in home health, ambulatory care, insurance industry and/or occupational health is preferred.

We are an Equal Opportunity/Affirmative Action employer.  All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. 
Apply Now