Registered Nurse Case Manager, Case Management

Position: Registered Nurse Case Manager, Case Management, FT, 8:30A-5P
The purpose of the RN Case Manager 2 position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work Case Manager.

In addition, the RN Case Manager 2 helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow,education,process improvements, patient satisfaction). The RN Case Manager 2 is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include:
Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention, Mentor and precept case managers as needed. Estimated salary range for this position is $80516.80 - $107087.34 / year depending on experience.

Degrees:

* Bachelors.

Licenses &

Certifications:

* ANCC Nursing Case Management.

* ANCC Nurse Executive, Advanced Certification.

* ANCC Nurse Executive - Board Certified.

* AAMCN Utilization Review Professionals.

* McKesson Certified Professional in Utilization Management.

* NAHQ Certified Professional in Healthcare Quality.

* NACCM Care Manager Certified.

* ACMA Case Management Administrator Certification.

* CCMC Case Manager.

* ACMA ACM Certification.

* Registered Nurse.

Additional Qualifications:

* RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.

* however, they are required to complete the BSN within 3 years of job entry date.

* RN license and one of the listed certifications required at job entry.

* 3-5 years of hospital clinical experience preferred and 2 years of hospital or payor Case Management experience required.

* Excellent interpersonal communication and negotiation skills.

* Strong analytical, data management and computer skills.

* Current working knowledge of transitions of care, utilization management, case management and performance improvement.

* Understanding of pre-acute and post-acute venues of care and post-community resources preferred.

* Current working knowledge of Milliman Care Guidelines (MCG) and Inter Qual criteria.

* Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.

* Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.

Minimum

Required Experience:

5 Years