Case Manager RN
2 weeks ago
Job Title: Case Manager RN
Luminis Health is seeking a skilled and compassionate Case Manager RN to play a vital role in ensuring seamless transitions for patients across the healthcare continuum.
Job Summary:
We are looking for a highly motivated and organized individual with a strong background in nursing and care management to join our team.
Key Responsibilities:
- Identify and prioritize patients in need of care management services using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors.
- Develop and implement strategies to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being.
- Utilize evidence-based guidelines to promote quality care, decrease variation, and mitigate waste.
- Manage observation stay patients assertively and ensure timely testing, treatment, and conversion to inpatient status or discharge.
- Develop and coordinate transition plans for patients transitioning to home with home health, community care coordination program, Hospice or Palliative care, home infusion, and routine sub-acute and skilled post-acute providers.
- Maintain clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient & family, family/social support systems, financial, economic, and transition needs.
- Participate in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
- Identify potential or current patient situations that require referral to other members of the healthcare team such as infection control, risk management, or quality management.
- Utilize all risk and predictive analytic tools such as the readmission risk tool to mitigate potential barriers or risk, prolonged unnecessary hospitalization, and readmission prevention.
- Maintain compliance with all regulatory standards (CMS, commercial insurers, etc.).
Requirements:
We are looking for a highly motivated and organized individual with a strong background in nursing and care management.
The ideal candidate will have:
- 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.
- Care coordination experience preferred.
- At least 1 year of Case Management experience is highly preferred.
- Current licensure as a registered nurse by the Maryland Board of Nursing.
- Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws.
Benefits:
Luminis Health offers a comprehensive benefits package, including:
- 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
- Eligible for shift differentials/OT
- Employee Assistance Programs and more
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