Care Manager RN - Clinical Review - Part Time Weekends

Job Summary

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

The Care Manager RN works collaboratively with medical providers and healthcare professionals within Frederick Health and across the healthcare continuum.

Clinical skills are utilized to assess patients health status, care of chronic conditions, and complex medical issues, unmet social needs, provide information and referrals to appropriate resources, psychosocial assessment, emotional support, and establishing plans for management of identified needs in the acute and / or ambulatory setting.

Assessment, planning, interventions, and reassessment are performed within a collaborative and interdisciplinary team. The Care Manager RN will also assist with patient / family navigation through the healthcare continuum, while focusing on improving quality outcomes and ensuring appropriate utilization of resources through effective care management practices

Hours : Weekends only. Saturdays and Sundays from 8 : 00am-4 : 30pm. 16 hours per week, 32 hours per pay period.

Example of Essential Functions :

• Delivery of care coordination within Frederick Health which may include hospital or ambulatory site assignment.
• Performs individualized assessments and planning to develop the plan of care to address identified needs.
• Identification of barriers to care including but not limited to disease education needs, socioeconomic status, unmet social needs, impaired coping, support network dysfunction.
• Promotes and values diversity to promote inclusive working relationships.
• Communication with interdisciplinary care team, patients, and families
• Promotes coordination with healthcare professionals.
• Monitors and evaluates care management plans.
• Provides education regarding condition and symptom management.
• Possesses working knowledge of regulatory components of assigned healthcare setting.

Required Knowledge, Skills and Abilities :

• Demonstrates effective interpersonal and communication skills, including superb customer service skills.
• Strong organizational and time management skills
• Excellent critical thinking skills, ability to work in a fact pace team environment, ability to multi-task, ability to adapt well to change and take on new challenges / projects, ability to effectively communicate and collaborate with physicians and staff.
• Ability to apply creative problem-solving skills to complex situations.
• Knowledge of disease management and psychosocial aspects of patient care
• Community resource knowledge
• Ability to work independently and interdependently.
• Personal creditability and the ability to serve as both a patient advocate as well as being committed to the health system goals.
• Demonstrates skills in planning, organizing, and managing multiple functions and complex processes.
• Knowledge of basic computer software programs

Minimum Education, Training, and Experience Required :

A. RN with current license

B. Case management certification is preferred but not mandatory

C. Three to five years of case management experience preferrable but not mandatory.

D. Experience in performing case management, utilization review, discharge planning, or quality / performance review preferred but not mandatory.

E. Demonstrates effective interpersonal and communication skills.

F. Ability to apply creative problem solving skills.

Patient Contact

Must demonstrate and maintain current knowledge and skills in providing appropriate care / contact for patients in the following age groups :

• X Neonate (0 thru 30 days)
• X Infant (31 thru 12 months)
• X Child (13 months thru 12 years)
• X Adolescent (13 years thru 17 years)
• X Adult (18 years thru 65 years)
• X Geriatric (66+ years)

Physical Demands :

Light Work - Lifting up to 20 pounds on an infrequent basis (less than one lift every three minutes and / or carrying up to 10 pounds, or requiring walking or standing to a significant degree (about six 6 hours a day).

Ergonomic Risk Factors :

Repetition : Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.

Awkward Posture : Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity.

Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.

Working Conditions :

Bloodborne Pathogens Exposure Risk : Category B MAY have exposure to blood or body fluids.

Reporting Relationship :

Reports to Department Manager

Care Management Department Summary

Integrated Care Management

The Integrated Care Management- Care Manager RN will work collaboratively with physicians, staff, and other healthcare professionals within ambulatory Frederick Health Medical Group practices and / or community practices that participate in the clinically integrated network (CIN)- Frederick Integrated Healthcare Network (FIHN).

Care coordination will focus on requirements of various value-based care contracts and population health focus areas. Transitions of care, risk stratification data, and provider / care team referrals will initiate care management within this population.

The Care Manager RN will interpret data to evaluate and implement care management strategies and interventions related to attributed beneficiaries and patient populations.

Optimizes patient wellness through the promotion of self-management strategies. Telephonic, medical office, and home visits will be conducted.

The Case Mgmt Emp Hlth- Care Manager RN will is responsible for developing a coaching relationship with employees or spouses with chronic health conditions or wellness needs as well as providing care management to employees and their family members covered under the Employee Health Plan (EHP).

Care Manager RN provides information, education, resources, and support to facilitate positive health change behaviors by focusing on mindfulness, improved self-management skills, problem solving, and goal setting.

In addition, hospital and community wellness initiatives are developed, promoted and lead. Care Manager RN will conduct targeted outreach to FIHN opt-in members to close identified care gaps such as mammograms, colonoscopies, well care visits, to assist with closing quality measure gaps.

Referrals are also accepted from Employee Health, FH Care Management programs, and FIHN providers for disease or wellness education and / or care management needs.

Care Management-Inpatient - The RN Care Manager, in partnership with physicians, nursing and healthcare team members, utilize professional skills to screen for and assess patient and family needsfor care coordination, discharge / transition planning, risk stratification and psychosocial needs.

The RN Care Manager role also includes proactive, individualized planning for patients’ progress across the continuum that optimizes quality of care, patient satisfaction, and utilization and reimbursement to meet organizational strategic objectives.

Caring for you as you care for the CommUNITY

Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.

Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees.

Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions.

We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.

Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours.

The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and / or Overtime paid, if applicable.

Hourly pay range : $33.15-$49.60