What are the responsibilities and job description for the Care Manager RN position at Meritus Medical Center Inc?
The RN Care Manager works in collaboration with the care management team and other healthcare providers to meet the clinical care coordination needs of patients through their acute episode of care. They also develop a discharge plan and strategy that addresses the patient needs through the continuum of care post-discharge. This professional collaborates with the healthcare team to achieve optimal clinical, financial, and patient satisfaction outcomes. This professional works in an interdisciplinary environment. They are tasked to assess patients for care coordination needs, facilitate the physician plan of care, implement and coordinate care progression, and monitor and evaluate options and services to meet an individual’s health needs. This professional accomplishes those tasks through effective communication, collaboration, knowledge of evidence based care, utilization review standards, coordination of community resources, and other interventions requisite to efficient clinical care progression for optimal patient health outcomes.
Minimum Qualifications:
Education - Associate Degree in Nursing from an accredited institution required. Bachelor’s Degree in Nursing preferred.
Experience - Requires a minimum of 2 years medical acute care experience and/or combined relevant experience in acute care, SNF, Doctor’s office or community health setting required.
Licensure/Certification - Current license to practice as Registered Nurse in the State of Maryland, or if resident of a state that participates in Nurse Multi-State Compact agreement, holds Registered Nurse License from that state that is designated as "Compact" or "Multi-State Privilege" using primary source verification and provides additional documentation as required by the Maryland Board of Nursing. RN License from a compact state with a designation of "Single State" does not meet the requirement and nurse must obtain a Maryland license. Must obtain care/case management certification within 5 years from accrediting body.
Knowledge/Skills/Abilities - Knowledge and use of utilization review criteria preferred, multi-tasking required, knowledge of evidenced based practices preferred, in depth knowledge of disease processes, knowledge of regulatory requirements, computer skills required, electronic medical record navigation strongly preferred, knowledge of the revenue cycle, knowledge of community resources and medical staff community is of strong benefit. Knowledge of insurance regulations and practices, regulatory agencies such as CARF, JCAHO, and State of Maryland.
Caring for Our Team
We offer a comprehensive benefits package to support our employees' well-being and professional growth. Benefits include health, dental, and vision insurance available starting the first day of the month following 30 days of employment, along with life insurance, short and long-term disability coverage. Paid Time Off begins accruing from day one, and we also provide a 401k plan, an education assistance program, and an employee assistance program. Additionally, employees working evening, night, or weekend shifts may be eligible for a shift differential, adding even more value to your role.
Strength Through Diversity
Meritus Health believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Meritus Health, and we expect a record of achievement and advancement as we meet our mission.
Our commitment to equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to create joy at work and reach their potential.
Happy to Help
At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help.
