RN Bilingual Case Manager for Breast & Cervical Cancer Outpatient Program

General Summary of Position

Are you looking to step away from bedside, but still want to use your skills to support amazing patient care?

Med Star's State Grant Funded Breast & Cervical Cancer Outpatient Program, located at Med Star Harbor Hospital, is seeking to hire an experienced Bilingual Registered Nurse Case Manager. As a solid, long-term Grant funded program through Medstar, the position salary caps at $86,000 annually with a comparable Medstar Total Rewards benefits package.

Our nurse would be a change agent in the lives of women over age 40 who need preventative healthcare related to HPV, PAP, Mammograms, Clinical breast exams, and other female related conditions. As a member of the Case Management Team, you would assist the patient with documentation, coordinate transportation, break language barriers by speaking fluent Spanish, use a language line if needed, to facilitate the delivery of quality, cost effective, patient-centered care.

Ensuring that the care is designed to meet individualized patient outcomes.

The operating hours for this position generally run Tuesday-Friday / 4 days per week schedule
. Hours are typically between 8am-5pm but could vary depending on appointments. The team is flexible and will work to provide appropriate coverage.

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
• Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care.
• Communicates daily with direct care givers and case management triad regarding patient and family responses to plan of care, identification of problems, discharge planning, and payer concerns such as LOS. Collaborates with utilization review team members on medical necessity determinations. Refers cases that need intervention.
• Communicates with patient, family and/or significant other to identify and clarify patient and family goals.
• Communicates with patient, family and/or significant other, health care team, external case manager, and facility to address issues relating to transition from acute to post-hospital care. Escalates issues to physician advisors and or supervisors as necessary.
• Conducts a pre/post admission assessment in order to identify patients for case management based upon indicators on the high-risk screen. Performs a comprehensive assessment incorporating data obtained from other disciplines to identify patient-specific problems or needs related to diagnosis, treatment, and discharge planning.
• Demonstrates competency in area of specialty to meet age specific, biopsychosocial, and spiritual needs of patients served.
• Disseminates and applies knowledge in order to meet the educational needs of the health care team, community, patients and families. Uses available readmission prevention risk identification systems to manage assigned population and communicates plan of care and barriers to the interdisciplinary care team. As appropriate, communicates daily with direct care givers and case management triad regarding readmission risk factors, Care Transition plans, and post-acute services.
• Evaluates and documents the patient's response to the plan of care and achievement of outcomes. Makes recommendation for modifications to the plan of care as indicated. Evaluates effectiveness of clinical pathways through outcome analysis, variance tracking, and problem identification.
• Manages a caseload of patients from admission through discharge and readmission, when appropriate. Identifies essential resources needed to implement the plan of care. May initiate discharge plan, in collaboration with the patient/family and healthcare team, and meet mutually set goals, as clinically desirable and as financially feasible. Communicates with patient, family and/or significant other, health care team, external case manager, community resources, and facility to address issues relating to transition from acute to post-hospital care.
  
  Delegates specialized patient care needs and planning to team members, such as community health advocates, peer recovery coaches, complex case manager, and social workers. May maintain a post-discharge caseload of assigned patients with timely telephonic case management calls in order to ensure the discharge and follow-up plans are adhered to by the patient.
• Manages own professional growth in the area of managed care, care management, other health care, financial trends, clinical practice, readmissions and research.
• Manages patient care according to clinical pathways, and/or multidisciplinary plan of care, and/or management care contracts by directing decision making and identifying and managing barriers that impact on patient care outcomes. Identifies delays and communicates appropriately.
• Maintains knowledge of regulatory agencies' requirements for discharge planning, necessary criteria for…