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Job Details

Manager Case Management

Requisition #: 188298
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Category: Social Work/Mental Health
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: July 16, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.

Position Summary:

The Manager, Case Management provides supervision and administrative oversight to the Case Management Team, and functions as an expert clinical practitioner and skilled manager of clinical systems that impact patient care for a minimum of 50% of his/her time. The Manager, Case Management provides daily management of personnel issues such as performance management and staffing. Under the direction of the Director, serves as an advisor, resource, preceptor and leader for other members of the Case Management Team. The Manager:- Coordinates interdisciplinary care for a select caseload of patients from pre-admission through post discharge and taking into consideration the age and development needs of the patient.- Is responsible for the interdisciplinary coordination of patient care as established by critical paths, managed care contracts, and individualized interdisciplinary plans of care.- Mobilizes resources and manages the system(s) in order to respond to concurrent and retrospective variances according to the critical path or interdisciplinary individualized plan of care.- Maintains knowledge of and responds to clinical system, and fiscal data related to specific patient populations. - Identifies indicators, collects and evaluates data related to case managed population -Leads the development, evaluation, and revision of critical paths, analyzing and utilizing aggregate variances and trends to improve clinical, quality, and fiscal outcomes. - Acts as a preceptor for other case managers in onboarding process. -Assists in the development of continuing education materials for case managers.

Knowledge:

Insurance benefit structures and related legal/ medical issues. Utilization management and quality improvement processes. Community resources. Ability to analyze complex data sets.

Knowledge of general safety rules, procedures and practices, including the proper use of safety equipment as defined by OSHA and industry standards for Power Plants.

Knowledge of applicable hazardous chemical handling techniques.

Education:

Master's degree from an accredited school of Nursing; for a Physician Assistant, a Master's degree in Physician Assistant Studies, Health Science, or Medical Science required OR Bachelor’s degree from an accredited school of Nursing; or for a Physician Assistant, a Bachelor’s Degree in Allied Health required with 4 years’ experience as a LEAD Case Manager required.

Work Experience:

Five years full-time nursing or physician’s assistant experience, including minimum two years’ experience in specialty area. Additional case management/ disease management or managed care experience preferred.

Shift:

Day, Full Time (40 hours)

8:00 am-4:30 pm

Exempt

Work Location:

JHH, 600 N. Wolf Street

Skills:

Ability to communicate effectively both verbally and in writing. Advanced interpersonal skills. Demonstrated clinical expertise in acute care nursing with advanced clinical expertise in a specialty area Ability to influence and negotiate individual and group decision-making. Ability to analyze, synthesize, and summarize information to make judgments regarding patient care. Business acumen so that health benefits and patient/provider satisfaction are maximized while solidifying the program’s viability through cost effective intervention Ability to function effectively in a fluid, dynamic, and rapidly changing environment.

Required Licensure, Certification:

RN: Current registered nurse licensure in the State of Maryland.

Working Conditions:

Possible exposure to communicable diseases, hazardous material, aggressive patients, pharmacological agents, with little likelihood of harm if established health precautions are followed. Work requires standing and/or walking for extended periods of time. -Work requires ability to make home visits or visits to other agencies as required. Work requires positioning, assisting, and/or providing emergency restraining of aggressive patients and patients experiencing loss of control; and transporting patients and/or equipment from one location to another with little likelihood for injury if proper body mechanics and procedures are followed.

Johns Hopkins is a Smoke – Free campus.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

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.

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