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Case Management
1 week ago
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Delegating Nurse Case Manager
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Case Manager
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Case Manager
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Case Manager
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NorthStar Special Services, Inc Pikesville, United StatesThis is a full-time salary exempt position. The purpose of this position is to provide the overall leadership and direction to the assure full implementation of the clients' Person Centered Plan, assure clients' satisfaction with the quality of services provided, ensure that thei ...
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Case Manager
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Service Coordination, Inc. Perry Hall, United States**Calling all Human Service Majors** · Service Coordination, Inc. is looking for Support Planners aka Case Managerswith a passion to serve and work within your community people who LOVE what they do and who are ready to *finally* be taken care of to the same degree that they care ...
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Case Manager
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The David's Loft Group Baltimore, United States**Position**:Case Manager · **Classification**:Direct Support · **Scope**: · **Status**:Non-Exempt · **Responsibilities**: · - Assess client's or family's needs and eligibility for services · - Works with clients, family and appropriate community agencies to coordinate and facili ...
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Medical Case Manager
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Case Management Coordinator
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Ascension Baltimore, United StatesWe Are Hiring: · - **Department**:Case Management-Inpatient · - ** Schedule**:Monday-Friday 8:00AM-5:00PM. Occasional weekend coverage required. Weekend overtime available. · - ** Hospital**:Ascension St. Agnes · - ** Location**:Baltimore MD · Role requires support for patient di ...
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Case Manager
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Case Manager
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Case Manager
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Matrix Dynamics Glen Burnie, MD, United States Freelance**We keep the Ortenau running. · **Glen Burnie, MD** · **Part-time (50%)** · **Salary group 11 TVöD, up to salary group A12 LBesG** · **Application deadline until ** · **Starting date as soon as possible** · **Administrative Assistant (m/f/d) for the Appeals Office**: · at the Yo ...
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Family Violence Case Manager
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Non Medical Case Manager
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Park West Health Systems Inc Baltimore, United StatesThe Non Medical Case Manager reports to the Director of Social Work and provides non medical case management services and care coordination for Park West patients as instructed. · Duties Include: · - Receive referral from Director of Social Work. · - Complete intake and schedule ...
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Pediatric Oncology Case Manager
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Johns Hopkins Hospital Baltimore, United StatesThe world **is watching** · Johns Hopkins Medicine, a nonprofit, combines over 125 years of commitment to community care with groundbreaking research, teaching and medical services to patients worldwide. Johns Hopkins Medicine operates six academic and community hospitals, four h ...
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Kaiser Timonium, United States Full timeJob Summary: · For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of ...
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Kaiser Timonium, United States Full timeJob Summary: · For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of ...
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Kaiser Timonium, United States Full timeThis position is eligible for a $10,000.00 sign on bonus · Job Summary: · For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with me ...
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Case Manager and Employment Specialist
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Global Refuge Baltimore, United States**If you are passionate about transforming communities **with** a mission-driven organization, then we have the opportunity for you** · Reporting to the Client Services Supervisor, the **Case Manager and Employment Specialist** will provide case management, employment, and suppor ...
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Case Management Assistant
1 week ago
University of Maryland Medical System Linthicum Heights, United States**Company Description** · The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, card ...
Director of Case Management - Towson, United States - University of Maryland Medical System
Description
The Directors primary responsibilities include management of all case management from pre-admission through post-discharge associated with the University of Maryland, St. Joseph Medical Center inpatient units, specialty outpatient units and emergency department. This position has responsibility for daily operations management and leadership in strategic planning/implementing case management, utilization management and social services. This position has direct reports including Manager of ICM, Team leads, office staff and dotted line Physician Advisor. In addition, this position works closely with physician and nursing leadership within the hospital setting and along the healthcare continuum. The position is accountable for budgeting and financial performance, patient satisfaction, human resources management, process improvement, and overall patient flow/ LOS management. The position will ensure consistency in management of workflows, documentation, quality and outcomes for case management. Provides oversight to development and implementation of innovated processes to improve clinical outcomes.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Strategic Leadership
Develops and implements short- and long-term goals and objectives to achieve overall University of Maryland St Joseph Medical Center goals.
Engages with Revenue Cycle management, including Chief Financial Officer, Revenue Cycle Director, managed care contracting, denial management, HIM and billing to ensure coordination of efforts through the revenue cycle.
Prepares annual strategic plan to include goals and action plan for Case Management Department across inpatient and outpatient setting to meet annual targets for LOS, cost of care, readmission rates and related quality metrics
Creates accountability and escalation pathways for resolving Care Coordination issues throughout Medical Center.
Utilizes knowledge of hospital process, clinical patient care, state and federal regulations and payer requirements to participated and guide leadership of interdisciplinary teams towards improvement of patient flow, clinical outcomes and efficiency.
Maintains knowledge of current economic trends, legislation and policy at state and federal levels, JACHO and CMS requirements
Maintains positive working relationships with medical staff, department chairs, medical directors and physicians
2. Performance Management and Workforce Engagement
Oversees and directs the work of the Clinical Case Managers, Utilization Case Managers and Social workers
Analyzes, evaluates and recommends operational efficiencies, process design and organizational structure that enables the Medical center to optimally provide services.
Objectively measures efficiencies, productivity, quality and cost performance to identify and track departmental performance.
Provides consultations/direction to individuals and/or teams to facilitate compliance.
Utilizes data to target opportunities for continuous improvement.
Recruits, interviews, hires and on-boards new management staff. Provides direction and evaluates departmental workload and responsibilities. Collaborates with Human resources leaders.
Handles conflict and resolution of conflict in timely and appropriate manner.
Promotes diversity, equity and inclusivity in the workplace and care coordination process.
3. Fiscal and Resource Management
Maintains accountability for meeting established financial performance metrics for assigned departments.
Works collaboratively with department leadership to plan, develop, implement and monitor all financial activities of the department
Submits operational and capital budgets for case management, monthly financial performance indicators, approves expenditures for supplies and service as necessary.
Identifies and ensures appropriate resources to achieve department goals.
Participates in negotiations regarding adding or renewing medial necessity critical decision support tools and related software applications and implementations.
Analyzes utilizations financial resources to forecast needs, project cost, investigate trends and variances prepare statistical data and reports.
4. Additional duties as assigned or directed
Education and Experience
1. BSN, MSN preferred and/or Masters of Social work required.
2. RN license required in States of Maryland or LISW-S in Maryland.
3. Minimum 5 years management experience to include considerable experience in care coordination, leadership, coaching and mentoring.
years of progressive case management experience required.
Certifications & Licensures
1. ACM or CCM required (or willing to obtain in 1 year)
2. RN or LISW-S V.
Knowledge, Skills & Abilities
1. Ability to communicate clearly with patients, visitors and staff of the Medical Center
2. Concentrate and pay attention for periods of up to 8 hours to perform such tasks as personnel management, data analysis, strategic planning and problem solving.
3. Solve complex problems and deal with variety of variable in situations where only limited standardization exists
4. Interpret a variety of instructions furnished in written, oral, diagram or schedule form
5. Ability to read, analyze and interpret common scientific and technical journals, financial reports and legal documents
6. Ability to define problems, collect data, establish facts and draw valid conclusions
7. Ability to respond to common inquiries and complaints from customers, regulatory agencies or members of the business community.
8. Utilize standard business equipment.
