Case Manager RN - Part-time

Frederick Health•Frederick, MD

4d•Hybrid

About The Position

Frederick Health is seeking a Case Manager RN for a part-time position to work 32 hours bi-weekly, e/o weekend and 1 day during the week. The Care Manager RN works collaboratively with medical providers and healthcare professionals within Frederick Health and across the healthcare continuum. Clinical skills are utilized to assess patients health status, care of chronic conditions, and complex medical issues, unmet social needs, provide information and referrals to appropriate resources, psychosocial assessment, emotional support, and establishing plans for management of identified needs in the acute and/or ambulatory setting. Assessment, planning, interventions, and reassessment are performed within a collaborative and interdisciplinary team. The Care Manager RN will also assist with patient/family navigation through the healthcare continuum, while focusing on improving quality outcomes and ensuring appropriate utilization of resources through effective care management practices. The Integrated Care Management- Care Manager RN will work collaboratively with physicians, staff, and other healthcare professionals within ambulatory Frederick Health Medical Group practices and/or community practices that participate in the clinically integrated network (CIN)- Frederick Integrated Healthcare Network (FIHN). Care coordination will focus on requirements of various value-based care contracts and population health focus areas. Transitions of care, risk stratification data, and provider/care team referrals will initiate care management within this population. The Care Manager RN will interpret data to evaluate and implement care management strategies and interventions related to attributed beneficiaries and patient populations. Optimizes patient wellness through the promotion of self-management strategies. Telephonic, medical office, and home visits will be conducted. The Case Mgmt Emp Hlth- Care Manager RN will is responsible for developing a coaching relationship with employees or spouses with chronic health conditions or wellness needs as well as providing care management to employees and their family members covered under the Employee Health Plan (EHP). Care Manager RN provides information, education, resources, and support to facilitate positive health change behaviors by focusing on mindfulness, improved self-management skills, problem solving, and goal setting. In addition, hospital and community wellness initiatives are developed, promoted and lead. Care Manager RN will conduct targeted outreach to FIHN opt-in members to close identified care gaps such as mammograms, colonoscopies, well care visits, to assist with closing quality measure gaps. Referrals are also accepted from Employee Health, FH Care Management programs, and FIHN providers for disease or wellness education and/or care management needs. Inpatient - The RN Care Manager, in partnership with physicians, nursing and healthcare team members, utilize professional skills to screen for and assess patient and family needs for care coordination, discharge/transition planning, risk stratification and psychosocial needs. The RN Care Manager role also includes proactive, individualized planning for patients’ progress across the continuum that optimizes quality of care, patient satisfaction, and utilization and reimbursement to meet organizational strategic objectives.

Requirements

Current license as a Registered Nurse in the state of Maryland
Graduation from an accredited school of nursing with a Bachelor of Nursing degree
Three to five years of care management and/or healthcare experience.
Certified in Cardiopulmonary Resuscitation (CPR)
Demonstrates effective interpersonal and communication skills, including superb customer service skills.
Strong organizational and time management skills
Excellent critical thinking skills, ability to work in a fact pace team environment, ability to multi-task, ability to adapt well to change and take on new challenges/projects, ability to effectively communicate and collaborate with physicians and staff.
Ability to apply creative problem-solving skills to complex situations.
Knowledge of disease management and psychosocial aspects of patient care
Community resource knowledge
Ability to work independently and interdependently.
Personal creditability and the ability to serve as both a patient advocate as well as being committed to the health system goals.
Demonstrates skills in planning, organizing, and managing multiple functions and complex processes.
Knowledge of basic computer software programs

Nice To Haves

Care Management certification preferred including but not limited to Accredited Case Manager (ACM) certification.

Responsibilities

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.
Performs individualized assessments and planning to develop the plan of care to address identified needs.
Identification of barriers to care including but not limited to disease education needs, socioeconomic status, unmet social needs, impaired coping, support network dysfunction.
Promotes and values diversity to promote inclusive working relationships.
Communication with interdisciplinary care team, patients, and families.
Promotes coordination with healthcare professionals.
Monitors and evaluates care management plans.
Provides education regarding condition and symptom management.
Possesses working knowledge of regulatory components of assigned healthcare setting.
Delivery of care coordination within Frederick Health which may include hospital or ambulatory site assignment.
Care coordination will focus on requirements of various value-based care contracts and population health focus areas.
Transitions of care, risk stratification data, and provider/care team referrals will initiate care management within this population.
Interprets data to evaluate and implement care management strategies and interventions related to attributed beneficiaries and patient populations.
Optimizes patient wellness through the promotion of self-management strategies.
Telephonic, medical office, and home visits will be conducted.
Responsible for developing a coaching relationship with employees or spouses with chronic health conditions or wellness needs as well as providing care management to employees and their family members covered under the Employee Health Plan (EHP).
Provides information, education, resources, and support to facilitate positive health change behaviors by focusing on mindfulness, improved self-management skills, problem solving, and goal setting.
Develops, promotes and leads hospital and community wellness initiatives.
Conducts targeted outreach to FIHN opt-in members to close identified care gaps such as mammograms, colonoscopies, well care visits, to assist with closing quality measure gaps.
Accepts referrals from Employee Health, FH Care Management programs, and FIHN providers for disease or wellness education and/or care management needs.
Utilizes professional skills to screen for and assess patient and family needs for care coordination, discharge/transition planning, risk stratification and psychosocial needs.
Includes proactive, individualized planning for patients’ progress across the continuum that optimizes quality of care, patient satisfaction, and utilization and reimbursement to meet organizational strategic objectives.