Case Manager coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Come elevate your skills and experience by working with a world class 800-bed, Magnet designated Academic Medical Center with a comprehensive and technologically advanced surgical suites.
The University of Maryland Medical Center (UMMC) is the flagship academic medical center at the heart of the University of Maryland Medical System (UMMS) and includes the 789-bed downtown Baltimore campus and the 177-bed midtown campus one mile north. Home to the Marlene and Stewart Greenebaum Comprehensive Cancer Center and The R Adams Cowley Shock Trauma Center, we’re the highest-volume trauma center in the United States.
• 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
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work!
1. Licensure as a Registered Nurse or equivalent health care license in the state of Maryland required.
All your information will be kept confidential according to EEO guidelines.
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