Requisition #:617424 Location:Sibley Memorial Hospital, Washington, DC 20016 Category:Nursing Schedule:Day Shift
Sibley Memorial Hospital is a non-profit, full service 318 bed acute care community hospital serving the Washington, DC area. Sibley offers medical, surgical, intensive care, obstetric, oncology, orthopaedic, skilled nursing inpatient services, and a state-of-the-art 24-hour Emergency Department. Sibley's campus, with its new patient tower, is also home to the Johns Hopkins Kimmel Cancer Center, the Johns Hopkins National Proton Therapy Center, Grand Oaks -- an assisted living residence -- a medical building with physician offices and an ambulatory surgery and imaging center.
Our comprehensive benefits package is designed to help you balance work with life so you can focus on what matters most-your well-being and that of your loved ones. Some of our benefits include:
Dependent Child Tuition Assistance
Educational Assistance Program
Two retirement plans: Retirement Income Plan and 403(b) Savings Plan
GENERAL SUMMARY: The Case Manager serves as the clinical and workflow resource for Case Coordinators and in the Case Coordination Department. In addition, the Manager evaluates timeliness and appropriateness of patient care and coordination of discharge planning for a smooth progression to post-hospital care.
This position is primarily weekend coverage.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Serves as the daily clinical and workflow resource for Case Coordinators and the Case Coordination Department. Provides supervision of Case Coordination: daily coverage, caseload distribution, case review or discharge planning problem solving, and attendance at physician advisor, interdisciplinary unit conferences and anti-denial meetings, along with maintaining accurate and timely related documentation.
Evaluates timeliness and appropriateness of patient care by reviewing medical records, meeting with physicians and other patient care providers, and comparing planned care to industry standard criteria adopted by payers.
Identifies delays in progression of patient care related to tests, procedures, or specialty evaluations through ongoing evaluation of patients and medical records. Negotiates with internal and external providers to promote timely progression of patient plans of care.
Identifies patients with complex discharge planning needs. Recommends options for post-hospital care based on required services and available resources.
Works collaboratively with Case Coordinators, physicians, patients, other patient care providers, and family members as appropriate to facilitate the development of discharge plans. Promotes multidisciplinary meetings as needed to discuss selected complex and challenging cases, and to develop specialized multidisciplinary plans for post-hospital care.
Attends patient multidisciplinary planning meetings with Case Coordinators and other health care team members to facilitate the interdisciplinary care of patients and achievement of positive outcomes.
Promotes the appropriate documentation of case coordination activities on tracking forms, and in the electronic healthcare record.
Educates RN and SW Case Coordinators to accept utilization and discharge planning related telephone orders from physicians, to document online accordingly, and to communicate appropriately to all involved with each patient's care.
Serves as liaison to payers for providing of information regarding appropriateness of hospitalization.
Serves as liaison to external providers and payers to manage the arrangements for appropriate post-hospital services.
Facilitates transfer of information among healthcare professionals to promote smooth patient transitions between services and levels of care.
Coaches Case Coordinators to identify patients with special age specific needs for protective services such as court appointed conservator, or child/adult protective services, and makes referrals.
Coaches Case Coordinators to identify patients with special age specific needs for post-hospital care related to decreased independence in the older adult. Recommends appropriate community resources.
Coaches Case Coordinators to identify patients with special age specific needs for post-hospital care related to home care of a newborn. Recommends appropriate community resources.
Coaches Case Coordinators to identify cases with questions regarding medical necessity and appropriateness of hospital services and to review with Administrator/Director and Physician Advisor.
Objectively evaluates staff. Identifies employee weaknesses and strengths and collaborates with the employee in identifying goals and a plan for attaining them. Assures that staff has opportunities for on-going education, annual competencies, and one-to-one supervision when warranted. Initiates Performance Improvement Plans and/or disciplinary actions to support clinical standards and hospital policies.
EDUCATION AND EXPERIENCE REQUIRED:
Licensed to practice as a Registered Nurse in the District of Columbia. Graduate of an Accredited Nursing program.
Bachelor‘s degree required.
Minimum of 2-5 years clinical experience in acute care setting. 3-5 years' experience conducting inpatient review and case coordination applying industry standard criteria (e.g., InterQual and M&R) preferred.
Current CPR Certification required.
Johns Hopkins Health System and its affiliates are drug-free workplace employers. We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. https://apptrkr.com/get_redirect.php?id=3971571&targetURL=
This prn position is one day per week.
GENERAL SUMMARY: The Case Manager serves as the clinical and workflow resource for Case Coordinators and in the Case Coordination Department. In addition, the Manager evaluates timeliness and appropriateness of patient care and coordination of discharge planning for a smooth progression to post-hospital care.
This position is primarily weekend coverage.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Serves as the daily clinical and workflow resource for Case Coordinators and the Case Coordination Department. Provides supervision of Case Coordination: daily coverage, caseload distribution, case review or discharge planning problem solving, and attendance at physician advisor, interdisciplinary unit conferences and anti-denial meetings, along with maintaining accurate and timely related documentation.
Evaluates timeliness and appropriateness of patient care by reviewing medical records, meeting with physicians and other patient care providers, and comparing planned care to industry standard criteria adopted by payers.
Identifies delays in progression of patient care related to tests, procedures, or specialty evaluations through ongoing evaluation of patients and medical records. Negotiates with internal and external providers to promote timely progression of patient plans of care.
Identifies patients with complex discharge planning needs. Recommends options for post-hospital care based on required services and available resources.
Works collaboratively with Case Coordinators, physicians, patients, other patient care providers, and family members as appropriate to facilitate the development of discharge plans. Promotes multidisciplinary meetings as needed to discuss selected complex and challenging cases, and to develop specialized multidisciplinary plans for post-hospital care.
Attends patient multidisciplinary planning meetings with Case Coordinators and other health care team members to facilitate the interdisciplinary care of patients and achievement of positive outcomes.
Promotes the appropriate documentation of case coordination activities on tracking forms, and in the electronic healthcare record.
Educates RN and SW Case Coordinators to accept utilization and discharge planning related telephone orders from physicians, to document online accordingly, and to communicate appropriately to all involved with each patient's care.
Serves as liaison to payers for providing of information regarding appropriateness of hospitalization.
Serves as liaison to external providers and payers to manage the arrangements for appropriate post-hospital services.
Facilitates transfer of information among healthcare professionals to promote smooth patient transitions between services and levels of care.
Coaches Case Coordinators to identify patients with special age specific needs for protective services such as court appointed conservator, or child/adult protective services, and makes referrals.
Coaches Case Coordinators to identify patients with special age specific needs for post-hospital care related to decreased independence in the older adult. Recommends appropriate community resources.
Coaches Case Coordinators to identify patients with special age specific needs for post-hospital care related to home care of a newborn. Recommends appropriate community resources.
Coaches Case Coordinators to identify cases with questions regarding medical necessity and appropriateness of hospital services and to review with Administrator/Director and Physician Advisor.
Objectively evaluates staff. Identifies employee weaknesses and strengths and collaborates with the employee in identifying goals and a plan for attaining them. Assures that staff has opportunities for on-going education, annual competencies, and one-to-one supervision when warranted. Initiates Performance Improvement Plans and/or disciplinary actions to support clinical standards and hospital policies.
EDUCATION AND EXPERIENCE REQUIRED:
Licensed to practice as a Registered Nurse in the District of Columbia. Graduate of an Accredited Nursing program.
Bachelor‘s degree required.
Minimum of 2-5 years clinical experience in acute care setting. 3-5 years' experience conducting inpatient review and case coordination applying industry standard criteria (e.g., InterQual and M&R) preferred.
Current CPR Certification required.
Johns Hopkins Health System and its affiliates are drug-free workplace employers. We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Apply
