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As a Case Manager / Care Navigator, you will:
*Completes comprehensive psychosocial assessment and review of clinical needs of patients
with focus on patient's requirements as they transition to the next level of care
*Collaborate with physicians, social workers and other disciplines involved with care of the patient to foster a coordinated approach to discharge planning and preventing delays in patient care; communicates barriers to leadership for resolution and trending
*Identify services and resources available in the community and assists with patient connection to these services
*Participate in Interdisciplinary Rounds and other patient care conferences
*Collaborate with Utilization Review staff
*Responsible for reviewing medical records for clinical criteria, appropriate level of care and compliance with standards
*Able to review medical records for clinical criteria, appropriate level of care and compliance with standards
Qualfications Include:
* Maryland Registered Nurse license
*Bachelor's of Science in Nursing
*Time Management Efficient and accurate reviews
*Knowledge of disease management
*Prior case management or discharge planning
experience is preferred.
*Prior experience with Cerner
EMR and All Scripts is preferred
*Knowledge of Interqual/MCG preferred
At Adventist HealthCare our job is to care for you. We do this by offering:
* Work life balance through non-rotating shifts
* Recognition and rewards for professional expertise
* Free Employee parking
* Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3-year vesting)
* 100% Coverage for inpatient hospitalization and outpatient procedures - at Adventist HealthCare facilities
* 100% Coverage for urgent care nationwide - zero copay
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today! Apply now to be considered.
Work Schedule:
Day Shift, M-F, 8:30am-5pm, and rotating weekends
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.