CTO Lead Care Mgr RN

3 days ago

Bethesda, Maryland, United States MEDSTAR HEALTH Full time

Excellent Hybrid RN position. No weekends/On call or Holidays. Position supports MedStar Medical Group offices in Bethesda and Silver Spring locations.

Serves as a member of the interdisciplinary care management team capable of furnishing an array of care coordination services to Medicare FFS beneficiaries attributed to practices that the Care Transformation Organization (CTO) supports. Responsible for the care management and care coordination of Medicare beneficiaries attributed to a medical practice(s); Serves as the liaison between the medical practice and the CTO's interdisciplinary care team.

EducationAssociate's degree in Nursing (ADN) Required andBachelor's degree in Nursing (BSN) Preferred Experience3-4 years Work experience including 1 or more years of proven case management experience. Familiarity with the local area and/or population health workforce integration. Required and Experience with data collection and reporting; community outreach experience,experience working in an ambulatory setting Preferred Licenses and Certifications Registered Nurse licensed in Maryland Required and Certified Case Manager (CCM) from a nationally recognized certification agency within 1-1/2 Yrs Preferred and Active ALS/CPR certification Required and Valid driver's license Required Knowledge, Skills, and AbilitiesEffective verbal and written communication skills.Excellent interpersonal and customer service skills especially serving geriatric patients.Strong analytical and critical thinking skills.Strong community engagement and facilitation skills.Advanced project management skills.Commitment to collective impact concepts.Flexibility and the ability to work autonomously as well as take direction as needed.Cultural competency.Proficient computer skills along with experience using Microsoft applications-Word, Excel, etc. and familiarity with entering data in an electronic medical record (EMR).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.In collaboration with the interdisciplinary care team, acts as primary care team agent for the coordination of care for a panel of attributed Medicare beneficiaries by ensuring the following: Ensures attributed beneficiaries have timely access to care (same day or next day access to the patient's own practitioner and/or care team for urgent care or transition management); Facilitates use of alternatives for care outside of the traditional office visit to increase access to the care team and the practitioner, such as e-visits, phone visits, group visits, home visits, and visits in alternate locations (senior centers, assisted living) captured in the medical record; Assists patients with scheduling appointments with providers including annual wellness visits.Attributed beneficiaries receive a follow up interaction from the practice within 2 days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services, including: patients with serious mental illness, patients with substance use disorders' patients with depression, anxiety, or other mental health conditions, patients with behavioral and social risk factors and BH issues, patients with multiple co-morbidities and BH issues; Assists with identifying patients to participate in the Patient-Family/ Caregiver Advisory Council (PFAC) and help to organize and facilitate the PFAC annual meetings; Engages attributed beneficiaries and caregivers in a collaborative process for advance care planning (MOLST, Advanced Directives, Proxy).Under the direction of the practice physician, may perform direct patient care including wellness visits, transitional care, administer vaccinations, screenings, etc.Assesses, plans, implements, monitors and evaluates options and services to meet health needs of attributed beneficiaries. Manages a caseload in compliance with contractual obligations and the MD Primary Care Program (MDPCP) standards.Conducts comprehensive member assessments through root cause analysis based on member's needs and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs.Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost-effective care. Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers.Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. Provides clinical consultation to physicians, professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations.Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs. Reviews benefits options, researches community resources, trains/creates behavioral routines and enables members to be active participants in their own healthcare.Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.Ensures daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the members understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR.Facilitates ongoing communication amongst practice and care team by participating in huddles, hosting regular conference calls, in-person meetings, or coordinating regular email updates to ensure alignment of activity, discuss new developments, and exchange information.Performs analysis of attributed beneficiary data and presents data intelligently and creatively in a way that can be easily and quickly grasped by the practice and interdisciplinary care team as appropriate.Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.Performs other duties as assigned.

  • Sr Mgr Strategic Planning

    7 days ago

    Bethesda, Maryland, United States HMSHost Full time

    With a career at HMSHost, you really benefit We offer: Health, dental and vision insurance Generous paid time off (vacation, flex or sick) Holiday pay 401(k) retirement plan with company match Company paid life insurance Tuition reimbursement Free parking and onsite fitness center Wellbeing Support Program Training and exciting career growth opportunities...

  • RN Team Lead

    7 days ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    Suburban Hospital is a 228-bed, community-based, not-for-profit hospital serving Montgomery County and the surrounding area since 1943. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by The Joint Commission and offers both complex and routine care for a range of specialties.What nurses love about...

  • RN Team Lead

    4 weeks ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    Suburban Hospital is a 228-bed, community-based, not-for-profit hospital serving Montgomery County and the surrounding area since 1943. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by The Joint Commission and offers both complex and routine care for a range of specialties. What nurses love about...

  • Sr. Program Principal Engineer

    1 month ago

    Bethesda, Maryland, United States NIH-NCBI Full time

    OverviewBlack Canyon Consulting (BCC) in partnership with Medical Science and Computing (MSC) is searching for a Senior Principal Program Manager (PPE) to support National Center for Biotechnology Information (NCBI). This opportunity is full time and onsite at the NCBI in Bethesda, MD.The PPE will direct SeqArch technical leads and teams working on SRA to...

  • Sr. Program Principal Engineer

    4 weeks ago

    Bethesda, Maryland, United States NIH-NCBI Full time

    OverviewBlack Canyon Consulting (BCC) in partnership with Medical Science and Computing (MSC) is searching for a Senior Principal Program Manager (PPE) to support National Center for Biotechnology Information (NCBI). This opportunity is full time and onsite at the NCBI in Bethesda, MD.The PPE will direct SeqArch technical leads and teams working on SRA to...

  • SP Mgr

    2 weeks ago

    Bethesda, Maryland, United States Marriott Full time

    Job NumberJob CategoryHuman ResourcesLocationMarriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United StatesVIEW ON MAPScheduleFull-TimeLocated Remotely?YRelocation?NPosition TypeManagementJob SummaryThe Manager, Learning Development supports the design and development of training across all Marriott disciplines and brands globally...

  • RN - Intermediate Care Unit

    4 weeks ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    You Belong Here. Join our Suburban Nursing Team as an IMCU RN and become part of world-renowned Johns Hopkins Health System What nurses love about Suburban:Competitive RN pay and benefit package: Suburban Hospital BenefitsFree On-site ParkingInterdisciplinary approach of care with the RN at the forefrontSupportive Nurse Leadership/Magnet DesignationFlexible...

  • RN - Intermediate Care Unit

    2 months ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    You Belong Here. Join our Suburban Nursing Team as an IMCU RN and become part of world-renowned Johns Hopkins Health System What nurses love about Suburban:Competitive RN pay and benefit package: Suburban Hospital BenefitsFree On-site ParkingInterdisciplinary approach of care with the RN at the forefrontSupportive Nurse Leadership/Magnet DesignationFlexible...

  • RN - Intermediate Care Unit

    4 weeks ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    You Belong Here. Join our Suburban Nursing Team as an IMCU RN and become part of world-renowned Johns Hopkins Health System What nurses love about Suburban:Competitive RN pay and benefit package: Suburban Hospital BenefitsFree On-site ParkingComprehensive Orientation and Nurse Residency Program Interdisciplinary approach of care with the RN at the...

  • RN - Intermediate Care Unit

    1 month ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    You Belong Here. Join our Suburban Nursing Team as an IMCU RN and become part of world-renowned Johns Hopkins Health System What nurses love about Suburban:Competitive RN pay and benefit package: Suburban Hospital BenefitsFree On-site ParkingComprehensive Orientation and Nurse Residency Program Interdisciplinary approach of care with the RN at the...

  • SP/Mgr-Learning

    1 month ago

    Bethesda, Maryland, United States Bethesda Marriott Full time

    Job Number Job Category Human ResourcesLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager, Learning Development supports the design and development of training across all Marriott disciplines and brands...

  • SP/Mgr-Learning

    4 weeks ago

    Bethesda, Maryland, United States Marriott International Full time

    Job Number Job Category Human ResourcesLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAP Schedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager, Learning Development supports the design and development of training across all Marriott disciplines and brands...

  • SP/Mgr-Learning

    1 month ago

    Bethesda, Maryland, United States Marriott International Full time

    Job Number Job Category Human ResourcesLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAP Schedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager, Learning Development supports the design and development of training across all Marriott disciplines and brands...

  • SP/Mgr-Learning

    4 weeks ago

    Bethesda, Maryland, United States Bethesda Marriott Full time

    Job Number Job Category Human ResourcesLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager, Learning Development supports the design and development of training across all Marriott disciplines and brands...

  • RN - Progressive Care Unit

    5 days ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    Suburban Hospital is a 228-bed, community-based, not-for-profit hospital serving Montgomery County and the surrounding area since 1943. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by The Joint Commission and offers both complex and routine care for a range of specialties. What nurses love about...

  • RN Care Manager

    5 days ago

    Bethesda, Maryland, United States Johns Hopkins Medicine Full time

    You belong hereSuburban Hospital is a 228-bed, Level II Trauma Center, and a community-based hospital in Bethesda, Maryland. Suburban Hospital is a member of Johns Hopkins Medicine and has served Montgomery County and the surrounding area for more than 65 years. The designated trauma center for Montgomery County, Suburban Hospital is fully accredited by the...

  • Mgr - Information Security - Data Governance

    4 weeks ago

    Bethesda, Maryland, United States Bethesda Marriott Full time

    Job Number Job Category Information TechnologyLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager will support the implementation, and maintenance of the Data Governance strategy for the Company. Further,...

  • Mgr - Information Security - Data Governance

    2 months ago

    Bethesda, Maryland, United States Bethesda Marriott Full time

    Job Number Job Category Information TechnologyLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? YRelocation? NPosition Type ManagementJob SummaryThe Manager will support the implementation, and maintenance of the Data Governance strategy for the Company. Further,...

  • Discharge Care Manager RN

    2 weeks ago

    Bethesda, Maryland, United States UnitedHealth Group Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Payment Policy Analytics Lead

    1 month ago

    Bethesda, Maryland, United States Booz Allen Full time

    Payment Policy Analytics LeadKey RoleLeverage expertise in medical payment policy, quality and performance measurement, alternative payment models, and healthcare finance. Advise clients and lead teams in the design and execution of methodologies to evaluate health care payment reform initiatives, including episode-based alternative payment models and...