What are the responsibilities and job description for the INPATIENT CASE MANAGER - RN position at LifeBridge Health?
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 denials of payment among 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.
Qualifications/Requirements:
Education/Knowledge
- Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field
- BSN preferred; ADN required
Certifications, Licenses, Registrations
- Maryland Registered Nurse License
- Intent to achieve MD licensure if out of state
- Case Mgmt cert preferred 3-5 yrs of hire for role
