Case Manager (RN)

The role

The Case Manager provides coordination of care for patients to support safe, seamless, and timely transitions. This person identifies, assesses, plans, implements, and evaluates services required to meet individual health and health related needs.

What you will do

• Identifies and prioritizes patients in need of care management services.
• Implements strategies such as motivational interviewing to promote patient engagement.
• Utilizes evidence based guidelines to promote quality care and verify level of care.
• Enters clinical review and authorized days in Epic.
• Manages observation stay patients to ensure timely testing, treatment, and conversion or discharge.
• Develops and coordinates transition plans for patients to home, community care, hospice, or post-acute providers.
• Maintains clear and concise documentation in patient records.
• Participates in nursing unit and department clinical outcome projects and process improvement initiatives.
• Identifies patient situations requiring referral to other healthcare team members.
• Utilizes risk and predictive analytic tools to mitigate barriers or readmission risk.

Required qualifications

• BSN or ADN with equivalent experience.
• BSN must be achieved within 5 years of start date in the role.
• Three years of experience in a clinical setting, ambulatory or post-acute.
• Current licensure as a registered nurse by the Maryland Board of Nursing.
• Medium work.

Nice to have

• Care coordination experience preferred.

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs

About the company

Luminis Health provides care management services to support patient transitions across the continuum.