Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of individual patient needs. A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. A Case Manager will provide care management and coordination of care for patients across various diseases. A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Overall, the Case Manager will promote direct communication with the patient, and appropriate service personnel, in order to optimize outcomes.
Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Demonstrated knowledge and skills to provide care appropriate to the age of patients served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative of his or her age-specific needs
Knowledge of medical records and the ability to interpret contents and relay information to payer and others as needed is required
Ability to identify problems, develop course of action and follow through to resolution is required
Ability to communicate effectively and positively, both written and verbally, with staff, physicians, other hospital personnel, patients and the general public required
Ability to ensure the confidentiality and rights of patients and the confidentiality of hospital and departmental documents required.
Duties include:
Assessing, planning, implementing and evaluating patient care and education
Coordinates patient discharge
Company Description Our growing community hospital serving Maryland's Charles County offers all of the services and amenities of a bigger metro hospital with the personal attention of our caring staff. At University of Maryland Charles Regional Medical Center (UM CRMC), our talented and diverse groups of professionals represent our strength. Through teamwork and a collaborative work environment, we proudly serve our patients and our community with unwavering commitment. It's our passion for people that motivates us to do great work every single day.
We are consistently named among the top 100 Best Places to Work in Maryland. Employees have the opportunity to grow professionally in a supportive and stimulating environment. Our excellent employee benefits support a healthy, balanced lifestyle.
Qualifications
Education and Experience
Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.
Must possess five years clinical experience in a healthcare setting.
Knowledge, Skills and Abilities
Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of individual patient needs
Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
Proficient documentation skills to maintain client records
Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
Critical thinking skills to analyze and solve problems
Strong problem management strategies and issue resolution skills
Excellent interpersonal, verbal, and written communication skills
Strong organization skills, detail oriented, and knowledgeable
Ability to work independently and effectively in a fast pace environment.
Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
Ability to effectively present information and respond to questions from families, members, providers, and clients, as well as the ability to relate effectively to upper management
Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
Understands benefit/payer systems and reimbursement structures for patients.
Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
Thorough and solid knowledge of health care and managed care delivery systems. This includes standards of medical practice, insurance benefits structure, and the utilization and case management process.
Knowledge of state and federal laws and resources
Additional Information All your information will be kept confidential according to EEO guidelines.
