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Job Details

Medical Case Manager

Requisition #: 182567
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Category: Nursing
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: May 20, 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:

Assists Senior Medical Case Manager in managing medical aspects of $9 million/year loss portfolio for Johns Hopkins Self-Insured Workers’ Compensation Program. Authorizes medical treatment; coordinates care and specialty referrals; facilitates recovery, rehabilitation, and return to gainful employment for JHHS employees sustaining work related injuries. Works collaboratively with a multidisciplinary team to assess, plan, implement, coordinate, monitory, evaluate and modify a plan of care and/or resources to affect positive outcomes. Assists in claims adjudication by providing relevant medical information.

Full-time, Day Shift

8:00 a.m. - 4:30 p.m.

Work Location: 2024 E. Monument Street, Suite 1-300, Baltimore, MD

COMPETENCIES:

Education:

Requires Baccalaureate degree in Nursing (BSN) from accredited nursing school or equivalent experience above the work experience requirement may be substituted on a 2:1 basis.

Required Licensure,Certification, Etc.

Current Registered Nurse licensure in State of Maryland and RN/WCCM within 90 days of hire is required. Certification through the Workers Compensation Commission as a Maryland Certified Rehabilitation Services Provider within 180 days of hire is required. Certification in Occupational health Nursing (COHN/COHN-S) by the American Board of Occupational Health Nursing (ABOHN) preferred. Certification in Case Management (CCM, COHN/CM, COHN-S/CM) preferred.

Work Experience:

Minimum three years as a Registered Nurse in an occupational/employee health or case management setting.

Knowledge:

Understanding of case management procedures/protocols, occupational injury management and workers’ compensation generally acquired through three to five years on the job experience

Skills:

Requires advanced clinical skills to function independently with limited supervision, assess cases and evaluate return to work.

Excellent verbal and written communication skills to interact effectively with employees, physicians, and other healthcare providers, supervisors/managers, administrators, attorneys and department staff as well as vendors/agencies/facilities outside the organization. Excellent time management and organizational skills. Proficient skills for information management.

Working Conditions:

Requires ability to walk and stand up to 25% of work time. Works in office/clinical areas where there are few discomforts due to dust, dirt, noise, etc. Possible exposures to hazards due to infectious specimens and contagious diseases, but potential for harm or personal injury is limited when proper safety and health precautions are followed.

"Johns Hopkins Hospital 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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