- Assesses the needs of individual patients within an assigned case load for care coordination discharge planning and utilization management services Facilitates early referral to high risk case management physical therapy occupational therapy social work risk management patient advocacy postacute services and quality management. Refers clinical issues and lapses in standards of care to appropriate parties.
- Creates case management care plans for assigned patients. Comprehensively assesses patients requirements for services. Extensively assesses patients organizational and payer needs with regard to meeting clinical and financial goals and patient/provider satisfaction.
- Facilitates multidisciplinary collaboration. Collaborates with colleague case managers in providing coordination of care. Works with a multidisciplinary team to develop a treatment plan including contingency plans. Contributes to problem solving within the team through communication collaboration data collection obtaining consensus and evaluating outcomes of treatment options.
- Implements strategies for case management care plans.
Qualifications :
- Licensure as a Registered Nurse (RN) in the state of Maryland or eligibility for licensure is required. Bachelors degree is also required. A health related Masters degree and certification as case manager are both preferred.
- One year of experience in case management and knowledge of payer mechanisms and clinical utilization management is preferred. Two years experience in acute care required four years clinical nursing experience preferred. Additional experience in home health ambulatory care and/or occupational health is preferred.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $34.15$56.57
Other Compensation (if applicable):
Review theUMMS Benefits Guide
Remote Work :
No
Employment Type :
Fulltime