Position Summary: The Inpatient Care Manager, in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention. The Care Manager strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimize denitals of payment amoung a patient population with complex health needs.
Essential Functions:
Assessment - Performs initial and ongoing Care Management assessment to determine, based on patient's condition and presentation, care coordination and discharge planning needs as appropriate in the Inpatient setting.
Planning - Creates a focused, anticipated discharge plan of care for assessed high risk patients with identified needs.
Intervention/Evaluation - Collaborates with the clinical team and medical provider to initiate the anticipated discharge plan for patients.
Performance Improvement - Stays abreast of changing organizational, emergency department, Care Management, and clinical trends, regulatory matters and third party payer requirements related to clinical care, discharge planning, and precertification or aftercare benefits.
Requirements:
- Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field
- BSN preferred; ADN required
- 3-5 years experience
- Maryland Registered Nurse License
- Intent to achieve MD licensure if out of state
- Case Mgmt cert preferred 3-5 yrs of hire for role