Case Manager, PRN - One UMMS Staffing Center

University of Maryland Medical System•Baltimore, MD

About The Position

Collaborates with interdisciplinary members of the healthcare team, community resources, patients and patients’ family/support to promote optimal patient outcomes across the care continuum, including the development of successful discharge planning. Must demonstrate the knowledge and critical thinking necessary to manage complex social dynamics, navigate barriers to safe discharge, and connect with the Division of Social Services (DSS), and Developmental Disabilities Administration (DDA) as needed. Must provide care that aligns with individual cultural, ethnic, age, and diagnostic specific needs through data interpretation and thorough assessments. Consistently expresses and demonstrates compassion and courtesy for patients, families and visitors.

Requirements

Current Maryland or Compact State RN License or Maryland Social Work License (LMSW) or LCSW

Nice To Haves

Two (2) years of relevant hospital/inpatient case management experience preferred
Masters degree in Social Work preferred
Knowledge of Case Management, Critical Pathways and Utilization Management preferred

Responsibilities

Manages the care of patients/families throughout the care continuum and the healthcare system based on individual needs, including facilitating peer and family consultations/meetings to advance coordination.
Coordinates with interdisciplinary care team to develop, revise, and implement appropriate discharge plans to ensure patient/family safety during the transition.
Communicates with the medical care team any pertinent findings that may influence care coordination, safe discharge and/or length of stay.
Provides and reviews appropriate community resources/services with patients/families.
Maintains accurate and timely documentation of actions, referrals, and conversations in the electronic health record, meeting case management documentation standards.
Initiates referrals to home healthcare, infusion therapy, hospice, skilled nursing/rehab facilities, dialysis centers, and durable medical equipment to facilitate timely transitions to the appropriate level of care.
Participates in multidisciplinary rounds or Care Transition Rounds providing pertinent patient information to improve safe discharge planning and decrease length of stays.
Collaborates with post-acute representatives to ensure safe and confidential transitional planning.
Performs other duties as assigned.