Job Description: Department: MD140_64550 Care Management Expected Weekly Hours: 36 Shift: 12 Hour Night Shift
Position Purpose: This position is 3-12 hour shifts, working two weekend shifts per month
Job Description Details:
This position is responsible for establishing the clinical appropriateness for inpatient admission, placement on observation status or treatment as an outpatient regardless of payer source. Employs well established, objective clinical decision support criteria as a guide. Works closely with physicians, nurses and admission and registration staff. Discusses with and informs physicians of the appropriate patient status based upon the medical record documentation available. Serves as a resource to all internal customers. Works with a high degree of autonomy.
Supports the Mission of Trinity Health and Holy Cross Hospital.
RN licensed in the state of Maryland., with Bachelor's Degree or Certification in Case Management required.
Minimum Knowledge, Skills, and Abilities Required:
Bachelor's Degree or Certification in Case Management required. Master's Degree preferred.
At least three years acute care experience required; Utilization/Quality Management, Discharge Planning and/or Clinical Documentation enhancement experience preferred.
Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters.
Highly articulate with strong written and verbal communication skills.
Computer literacy and analytic skills required.
Able to communicate effectively, demonstrating good audio and visual acuity.
Demonstrated ability to work with all age groups of patients (birth to geriatric).
Ability to be assertive without being aggressive
Patient assessment skills required
Mastery of CMS criteria for observation status
Preferred bilingual with English and Spanish proficiency
Physical Requirements: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
Visual Acuity: The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes.
Environmental Conditions: None. The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work.)
Reports to and is evaluated by the Director and Assistant Director of Case Management. Performs independently within established policy with minimal supervision. Consults as necessary with the Director, Assistant Director and/or Lead Case Manager especially in cases requiring policy and/or procedural decisions.
Holy Cross Health is an Equal Employment Opportunity (EEO) employer.
Qualified applicants are considered for employment without regard to Minority/Female/Disabled/Veteran (M/F/D/V) status.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.