Case Manager (RN) Doctors Community Medical Center, Lanham, MD PRN/Supplemental - Day shift (8:00am-4:30pm, rotating weekends) Position Objective: The Case Manager works under the direction of the clinical director of care management, providing coordination of care for patients at Anne Arundel Medical Center to support safe, seamless, timely transitions across the continuum. Utilizing a collaborative process, will identify (using quantitative and qualitative methods), assess, plan, implement and evaluate the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Promotes the right resources, at the right time and at the right level of care and is responsible for engaging and supporting patients that are in need of care management services; is able to determine, using evidence based guidelines, the correct initial and ongoing level of care for patients and is able to submit appropriate denial review for Medicare, Medicaid and commercial insurers. Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Identifies and prioritizes patient in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; uses a multi discoplinary approach to assess/plan for care needs. 2. Identifies and implements strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being. 3. Utilizes evidenced based guidelines (such as InterQual or other agreed upon evidenced based guidelines) to promote quality care, decrease variation and mitigate waste. Verifies appropriate level of care; enters clinical review and authorized days in Epic; documents actions to avoid denied days; refers cases to Physcian Advisor as appropriate. 4. Manages observation stay patients assertively and ensures timely testing, treatment and conversion to inpatient status or discharge. 5. Develops and coordinates transition plans for patients transitioned to home with home health, community care coordination program, Hospice or Palliative care, home infusion and routine sub-acute and skilled post-acute providers; completes all necessary documentation and necessary handovers. Involves and prepares patients and families for transition from the ED, Peds, Clatanoff or Observation unit as indicated. 6. Maintains clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient & family, family/social support systems, financial, economic, and transition needs. Initiates referrals to disciplines as indicated. 7. Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management. 8. Identifies potential or current patient situations which require referral to other members of the health care team such as infection control, risk management, or quality management. Assures plan of care is adjusted as appropriate and that follow-up occurs. Keep leadership abreast of potential issues. 9. Utilizes all risk and predictive analytic tools such as the readmission risk tool. Applies tailored interventions to mitigate potential barriers or risk, prolonged unnecessary hospitalization and readmission prevention. 10. Maintains compliance with all regulatory standards (CMS, commercial insurers etc) Educational/Experience Requirements: BSN or ADN with equivalent experience. BSN must be achieved within 5 years of start date in the role Three years of experience in a clinical setting, ambulatory or post-acute. Care coordination experience preferred. Licensure/Certification: Current licensure as a registered nurse by the Maryland Board of Nursing. Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws. Working Conditions, Equipment, Physical Demands: There is reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands - Medium work The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Luminis Health Benefits Overview: <ul> <li>Medical, Dental, and Vision Insurance</li> <li>Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)</li> <li>Paid Time Off</li> <li>Tuition Assistance Benefits</li> <li>Employee Referral Bonus Program</li> <li>Paid Holidays, Disability, and Life/AD&D for full-time employees</li> <li>Wellness Programs</li> <li>Eligible for shift differentials/OT</li> <li>Employee Assistance Programs and more</li> </ul> Benefit offerings based on employment status<img src="https://www.jobg8.com/Tracking.aspx?ZsXJdVLIzHs7%2b1AJxlJ3gAn" width="0" height="0" />

**Case Manager (RN)**

Join our team at Doctors Community Medical Center in Lanham, MD, as a Case Manager (RN) in a PRN/Supplemental role. This position involves day shifts from 8:00 am to 4:30 pm, with rotating weekends.

**Job Description**

- Work under the direction of the clinical director of care management, providing coordination of care for patients to support safe, seamless, timely transitions across the continuum.
- Utilize a collaborative process to identify, assess, plan, implement, and evaluate the options and services required to meet an individual's health and health-related needs, including social determinants that affect overall wellbeing.
- Promote the right resources at the right time and at the right level of care, engaging and supporting patients in need of care management services.
- Determine the correct initial and ongoing level of care for patients using evidence-based guidelines and submit appropriate denial reviews for Medicare, Medicaid, and commercial insurers.

**Essential Job Duties**

- Identify and prioritize patients in need of care management services using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors; use a multidisciplinary approach to assess/plan for care needs.
- Implement strategies such as motivational interviewing to promote patient engagement, self-care, treatment adherence, and optimal levels of health and well-being.
- Utilize evidence-based guidelines (such as InterQual) to promote quality care, decrease variation, and mitigate waste; verify appropriate level of care; enter clinical review and authorized days in Epic; document actions to avoid denied days; refer cases to Physician Advisor as appropriate.
- Manage observation stay patients assertively and ensure timely testing, treatment, and conversion to inpatient status or discharge.
- Develop and coordinate transition plans for patients transitioning to home with home health, community care coordination programs, hospice or palliative care, home infusion, and routine sub-acute and skilled post-acute providers; complete all necessary documentation and handovers.
- Maintain clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient & family, family/social support systems, financial, economic, and transition needs; initiate referrals to disciplines as indicated.
- Participate in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
- Identify potential or current patient situations requiring referral to other members of the healthcare team such as infection control, risk management, or quality management; assure plan of care is adjusted as appropriate and that follow-up occurs; keep leadership abreast of potential issues.
- Utilize all risk and predictive analytic tools such as the readmission risk tool; apply tailored interventions to mitigate potential barriers or risks, prolonged unnecessary hospitalization, and readmission prevention.
- Maintain compliance with all regulatory standards (CMS, commercial insurers, etc.).

**Requirements**

- BSN or ADN with equivalent experience; BSN must be achieved within 5 years of start date in the role.
- Three years of experience in a clinical setting, ambulatory or post-acute; care coordination experience preferred.
- Current licensure as a registered nurse by the Maryland Board of Nursing.
- Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws.

**Working Conditions**

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. The physical demands are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

**Benefits**

- Medical, dental, and vision insurance
- Retirement plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid time off
- Tuition assistance benefits
- Employee referral bonus program
- Paid holidays, disability, and life/AD&D for full-time employees
- Wellness programs
- Eligible for shift differentials/OT
- Employee assistance programs and more

Benefit offerings based on employment status.

Case Manager (RN) - PRN

Position Objective: Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective collaboration with other members of the health care team. Functions as a competent member of the health care team. Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions <ul> <li>Clinical Decision Making/Judgment: Demonstrates clinical nursing knowledge and skill in the specialization of the unit; Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care; Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes; Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies; Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients; Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals; Efficiently implements the patient's plan of care in accordance with applicable standards, policies, procedures and guidelines; Demonstrates proficiency in medication administration, pain management and other unit or initiative specific skills; Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.</li> <li>Nurse-Patient Family Relationships: Demonstrates the ability to assess the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning. Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards; Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients; Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner; Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family.</li> <li>Clinical Scholarship: Participates in QI, C PI and risk management activities at the unit, department or organizational level; Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to AAMC's quality standards and benchmarks; Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.</li> <li>Clinical Leadership: Participates in unit shared governance according to departmental standards; Participates in the education and orientation of new staff; Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes; Employs real time computer documentation when completing patient record.</li> </ul> Educational/Experience Requirements: <ul> <li>Graduate of an accredited school of nursing</li> </ul> Required License/Certifications: <ul> <li>Adherence to credentialing requirements of AAMC as stated in the nursing bylaws.</li> <li>Must obtain Advanced Cardiac Life Support (ACLS) within 6 months of date of hire.</li> <li>Current licensure as a registered nurse by the Maryland Board of Nursing.</li> <li>American Heart Association CPR for Healthcare Providers.</li> </ul> Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands - Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Eligible for shift differentials/OT • Eligible for commitment bonus • Employee Assistance Programs and more Benefit offerings based on employment status<img src="https://www.jobg8.com/Tracking.aspx?9oUTlKZ647XILBPo1YmpFQx" width="0" height="0" />

**Position Objective**

Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective collaboration with other members of the health care team. Functions as a competent member of the health care team.

**Job Description**

- Demonstrates clinical nursing knowledge and skill in the specialization of the unit; applies the nursing process effectively in the care of culturally diverse patients and families.
- Utilizes all applicable laws, policies, standards, guidelines, and evidence-based practice in the provision of patient/family care.
- Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes.
- Assesses patients to collect data and identify learning needs according to established standards and policies.
- Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.
- Implements the patient's plan of care in accordance with applicable standards, policies, procedures, and guidelines.
- Demonstrates proficiency in medication administration, pain management, and other unit or initiative specific skills.
- Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.
- Assesses the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning.
- Develops, implements, and evaluates teaching plans for patient populations in unit specialty in accordance with applicable standards.
- Provides direct patient care to patients and families in a culturally, developmentally, and ethically appropriate manner.
- Participates in quality improvement, continuous performance improvement, and risk management activities at the unit, department, or organizational level.
- Supports the use of evidence-based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.
- Participates in unit shared governance according to departmental standards; participates in the education and orientation of new staff.
- Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.
- Employs real-time computer documentation when completing patient records.

**Requirements**

- Graduate of an accredited school of nursing.
- Adherence to credentialing requirements of AAMC as stated in the nursing bylaws.
- Must obtain Advanced Cardiac Life Support (ACLS) within 6 months of date of hire.
- Current licensure as a registered nurse by the Maryland Board of Nursing.
- American Heart Association CPR for Healthcare Providers.

**Working Conditions**

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

**Physical Demands**

Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

**Benefits**

- Medical, dental, and vision insurance
- Retirement plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid time off
- Tuition assistance benefits
- Employee referral bonus program
- Paid holidays, disability, and life/AD&D for full-time employees
- Wellness programs
- Eligible for shift differentials/OT
- Eligible for commitment bonus
- Employee assistance programs and more

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Staff Nurse - Flex Nursing Unit - CPT

Position Objective: Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team. Essentional Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Clinical Decision Making/Judgment <ul> <li>Demonstrates clinical nursing knowledge and skill in the specialization of the unit.</li> <li>Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and evidence-based practice in the provision of patient/family care.</li> <li>Organizes and reprioritizes patient care activities based on subtle and overt and/or environmental changes.</li> <li>Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies.</li> <li>Utilizes a systematic, continuous and complete analysis of assessment data to develop individualized problem lists for assigned patients.</li> <li>Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.</li> <li>Efficiently implements the patient's plan of care in accordance with applicable standards, policies, procedures and guidelines.</li> <li>Demonstrates proficiency in medication administration, pain management and other unit or initiative specific skills.</li> <li>Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.</li> </ul> 2. Nurse-Patient Family Relationships <ul> <li>Demonstrates the ability to assess the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning.</li> <li>Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards.</li> <li>Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients.</li> <li>Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner.</li> <li>Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family.</li> </ul> 3. Clinical Scholarship <ul> <li>Participates in QI, CPI and risk management activities at the unit, department or organizational level.</li> <li>Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to AAMC's quality standards and benchmarks.</li> <li>Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.</li> </ul> 4. Clinical Leadership <ul> <li>Participates in unit shared governance according to departmental standards.</li> <li>Participates in the education and orientation of new staff.</li> <li>Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.</li> <li>Employs real time computer documentation when completing patient record.</li> </ul> Educational/Experience Requirements: <ul> <li>Graduate of an accredited school of nursing</li> <li>Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws.</li> </ul> Required License/Certifications: <ul> <li>Current licensure as a registered nurse by the Maryland Board of Nursing.</li> <li>CPR - American Heart Association Healthcare Provider certification</li> </ul> Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands - Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)• Paid Time Off• Tuition Assistance Benefits• Employee Referral Bonus Program• Paid Holidays, Disability, and Life/AD&D for full-time employees• Wellness Programs• Eligible for shift differentials/OT• Employee Assistance Programs and more Benefit offerings based on employment status<img src="https://www.jobg8.com/Tracking.aspx?uxISgGZEFqD%2b9MAoWgICNQo" width="0" height="0" />

**Position Objective**

Contributes to the provision of high-quality, cost-effective healthcare as a provider of direct and indirect patient care and by effective collaboration with the health care team. Functions as a competent member of the health care team.

**Job Description**

- Demonstrates clinical nursing knowledge and skill in the specialization of the unit.
- Demonstrates the ability to apply the nursing process effectively in the care of culturally diverse patients and families.
- Organizes and reprioritizes patient care activities based on subtle and overt environmental changes.
- Consistently and thoroughly assesses patients to collect data and identify learning needs according to established standards and policies.
- Utilizes a systematic, continuous, and complete analysis of assessment data to develop individualized problem lists for assigned patients.
- Develops and individualizes a plan of care for each patient in accordance with established standards, appropriate prioritization of problems/needs, and mutually agreed upon goals.
- Efficiently implements the patient's plan of care in accordance with applicable standards, policies, procedures, and guidelines.
- Demonstrates proficiency in medication administration, pain management, and other unit or initiative specific skills.
- Continuously evaluates the effectiveness of the plan(s) of care, making revisions and recommendations based on analysis of patient responses to interventions.
- Demonstrates the ability to assess the patient's/family's learning needs, readiness to learn, learning style, and presence of barriers to learning.
- Develops, implements, and evaluates teaching plans for patient populations in unit specialty in accordance with applicable standards.
- Applies knowledge of growth and development across the life span to the care of patients.
- Provides direct patient care to patients and families in a culturally, developmentally, and ethically appropriate manner.
- Plans of care address the physical, psychosocial, spiritual, and learning needs of the patient/family.
- Participates in quality improvement, continuous performance improvement, and risk management activities at the unit, department, or organizational level.
- Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to AAMC's quality standards and benchmarks.
- Supports the use of evidence-based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment.
- Participates in unit shared governance according to departmental standards.
- Participates in the education and orientation of new staff.
- Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes.
- Employs real-time computer documentation when completing patient records.

**Requirements**

- Graduate of an accredited school of nursing.
- Adherence to the credentialing requirements of AAMC as stated in the nursing bylaws.
- Current licensure as a registered nurse by the Maryland Board of Nursing.
- CPR - American Heart Association Healthcare Provider certification.

**Working Conditions**

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

**Physical Demands**

Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

**Benefits**

- Medical, dental, and vision insurance
- Retirement plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid time off
- Tuition assistance benefits
- Employee referral bonus program
- Paid holidays, disability, and life/AD&D for full-time employees
- Wellness programs
- Eligible for shift differentials/OT
- Employee assistance programs and more benefit offerings based on employment status

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