Jobs

    RN Care Manager Weekend - Towson, MD, United States - Greater Baltimore Medical Center

    Greater Baltimore Medical Center
    Greater Baltimore Medical Center Towson, MD, United States

    3 days ago

    Default job background
    Description

    Care Manager Weekend

    As a RN Care Manager Weekend, you will oversee and organize the care process for inpatients to optimize patient outcomes efficiently. Collaborating with diverse internal and external teams, you ensure maximum hospital reimbursement by liaising with payers and physicians. Your role involves discharge planning, care coordination, and managing patient case allocation.


    Requirements:
    • Bachelor of Science in Nursing (BSN) OR Associate of Science in Nursing with enrollment in a BSN program
    • Two (2) years of Case Management experience, including Utilization Review and Discharge Planning
    • Skilled in Interqual and/or Milliman criteria, care management theories, and using computer software programs
    • Strong communication and critical thinking skills
    • Ability to handle complex problems and discharge needs assessment

    Duties and Responsibilities:
    • Assess patients' clinical status, needs, financial resources, and care goals within a specific caseload
    • Collaborate with healthcare team to develop patient-centered care plans
    • Review admission and stay criteria, creating appropriate care plans in line with guidelines
    • Identify and coordinate patient discharge needs, utilizing community resources when necessary
    • Stay updated on payer requirements, ensure utilization compliance, and coordinate post-discharge placement
    • Organize healthcare team meetings, educate staff on care management, and address system obstacles
    • Keep management informed on complex cases and suggest solutions

    GBMC Values:
    • Respect: Treat everyone with courtesy, fairness, and privacy
    • Excellence: Strive for superior performance and continuous learning
    • Accountability: Act professionally, take ownership, and utilize resources efficiently
    • Teamwork: Be engaged, collaborative, and celebrate contributions
    • Ethical Behavior: Act with honesty, integrity, and respect for diverse needs
    • Results: Set goals, embrace change, and achieve outcomes efficiently

    COVID-19 Vaccination:
    All applicants must be fully vaccinated against Covid-19 or obtain an approved medical or religious exemption before joining GBMC Healthcare.


    Equal Employment Opportunity:
    GBMC HealthCare and its affiliates promote Equal Opportunity employment, considering applicants based on merit without discrimination.

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