Job Details

Case Manager - Pediatric Nursing Complex Care 612064

Company name
Johns Hopkins Bayview Medical Center

Location
Baltimore, MD, United States

Employment Type
Full-Time

Industry
Healthcare, Nursing, Case Management, Manager

Posted on
Nov 16, 2022

Valid Through
Mar 01, 2023

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Join an amazing global healthcare organization! 

Excellent compensation package!

Awesome benefits, including dependent tuition reimbursement!

Requisition #: 612064

Location:

Pediatric Nursing JHH,

1800 Orleans Street; Blomberg 8510, Baltimore, MD  21287

Shift:

Full Time (40 hours) 

Day Shift; 8:00am - 4:30pm

Weekends Required: No

Exempt

Position Summary:

This is an exciting opportunity within the newly launched Pediatric Complex Care Collaborative (PC3):  the collaborative aims to improve the lives of the most complex patients and their families through collaboration and coordination across the care continuum with an emphasis on keeping the patient at home whenever possible. 

In collaboration with the multi-disciplinary team the Case Manager covers the inpatient PC3 population with work focused on aligning care and coordinating care based on the patient/family needs, connecting patient and family with appropriate resources, and works with entire PC3 team to coordinate and streamline patient/family experience.  The case manager will also take part in ensuring and following complex cases across hospital settings and the care continuum.

This position is for an experienced nurse case manager that is innovative, flexible, and team oriented! 

The

 Pediatric Nursing Case Manager is an expert clinical practitioner and skilled manager of clinical systems that impact patient care:

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. 

Levels I &II. 

In addition to level I, Level II is responsible for:   

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.

Preceptorship and onboarding of new Case Managers.

Assists in the development of continuing education materials for case managers.

Provides mentorship and acts as a lead to lower level employees.

Leads committees, as assigned.

Education: 

Level I:

  Bachelors degree from an accredited school of Nursing                                                                                                                    

Level II: 

Master's degree from an accredited school of Nursing

OR Bachelor's degree from an accredited school of Nursing and at least one required certification stated below.

Licensure/Certification: 

Level I:

Current registered nurse licensure in the State of Maryland.

Level II:

If candidate does not posses a Master's degree from an accredited school of Nursing, must posses Bachelor's degree and Certified Case Manager (CCM) or Accredited Case Manager (ACM).

Required Work Experience:

Level I:

Three years full-time nursing experience.                                                                                                                                                  

Level II:

Five years full-time nursing experience AND at least one year of full-time Case Management experience.                                                                                                                                              

Levels I & II:

Additional case management/ disease management or managed care experience preferred.

Knowledge, Skills and Abilities:

Levels I & II:                                                                                                                                                                                                                                       

Insurance benefit structures and related legal/ medical issues.

Utilization management and quality improvement processes.

Community resources.                                                                                                                                                                                              

Demonstrated clinical expertise in acute care nursing with clinical expertise in a specialty area.                                                                                                                                                                               

Level II:

Advanced clinical skills in specialty area or equivalent.                          

Levels I & II

Ability to communicate effectively both verbally and in writing.                                                                                                                                    

Advanced interpersonal skills.                                                                                                                                                                                        

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.

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.

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

We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.

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