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Johns Hopkins University

Research university in Baltimore, MD

Registered Nurse Case Manager

Medical, Clinical & VeterinaryUpdated on Nov 14
Full-timeBaltimore, MD, USA$55 /hrIn-person

About the Job

Requirements

  • Completion of an accredited Bachelor of Science in Nursing program.
  • Ability to communicate effectively orally and in writing, demonstrate empathy in difficult interpersonal situations, and form and maintain collaborative relationships with hospital staff, patients, families, post-acute providers, and payers.
  • Ability to problem-solve proactively and creatively using judgment based on clinical knowledge.
  • Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
  • Business acumen to maximize health benefits and patient/provider satisfaction while supporting program viability through cost-effective interventions.
  • Proficiency with an electronic patient record, email, general office equipment, and communications equipment.
  • Valid Maryland nursing license.
  • Minimum of five to seven years of nursing experience.
  • Minimum of one year in case management, discharge planning, or utilization review.

Responsibilities

  • Develop a sustainable, safe transition plan appropriate to each patient's needs and resources in collaboration with the patient, family, and interdisciplinary care team.
  • Maintain knowledge of and respond to clinical system and fiscal data related to specific patient populations.
  • Complete an initial screening of assigned patients to identify readmission risks, patient strengths, and needs related to clinical resource utilization and transition planning.
  • Initiate, complete, and document transition planning for patients in the assigned caseload.
  • Collaborate with healthcare team members to ensure the multidisciplinary plan of care is developed, followed, and modified as needed.
  • Coordinate delivery of clinical services to ensure patients' clinical, quality, and cost outcomes are met.
  • Work with physicians, specialists, and payors to develop appropriate care delivery strategies for assigned patients.
  • Consult with healthcare team members on clinical, research, and system problems within the specialty area, and educate physicians about managed care principles, discharge planning, reimbursement, levels of care, and the continuum of care.
  • Coordinate and lead multidisciplinary rounds.
  • Identify high-risk patient behaviors, high-risk diagnoses, and social determinants of health to reduce readmission risk and improve patient quality outcomes.
  • Collaborate with community-based case managers and provide verbal or written handoffs to facilitate continuity of care.
  • Maintain appropriate documentation in the medical record and care management files.
  • Identify indicators and collect and evaluate data related to the case-managed population.
  • Lead the development, evaluation, and revision of critical paths, analyzing and using aggregate variances and trends to improve clinical, quality, and fiscal outcomes.
  • Attend and participate in relevant committee meetings, including Joint Practice Committee, barrier meetings or long-stay reviews, length-of-stay reduction work groups, and staff meetings.
  • Attend and participate in committee meetings and departmental change initiatives.
  • Educate patients and families to optimize independence in self-care and improve quality outcomes.
  • Perform other duties as assigned.

Desired Qualifications

  • Master of Science in Nursing.
  • Accredited Case Manager credential, such as Registered Nurse (ACM-RN) or Certified Case Manager (CCM).

About the Company

Johns Hopkins University

Research university in Baltimore, MD

Johns Hopkins University is a private research university in Baltimore, Maryland. It offers undergraduate, graduate, and professional education through its schools and divisions.

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