Case Manager - University Care (Wilkens Avenue)
University of Maryland Faculty Physicians, Inc · Baltimore, Maryland, US
Under general supervision, provides utilization management, care coordination and discharge planning for an assigned patient case load.
Job description
Under general supervision, provides utilization management, care coordination and discharge planning for an assigned patient case load. This role is patient focused, outcome-oriented, and based on general and specialty professional standards, and functions within a multi-disciplinary practice model; and other duties as assigned. EDUCATION and/or EXPERIENCE: - Licensed as a Registered Nurse (RN) in the state of Maryland. Graduation from an accredited school is required - Master’s degree or certification as Case Manager preferred - Minimum of 5 years clinical nursing experience. Experience in acute care, as well as home health, ambulatory care and/or occupational health is preferred - Knowledge of managed care, discharge planning, utilization and case management is required - Experience in case management and knowledge of payer mechanisms and clinical utilization management is highly preferred ESSENTIAL JOB FUNCTIONS: 1. Coordinates the integration of social services/case management functions into the patient care, discharge, and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities. 2. Conducts concurrent medical...