Nurse Manager Case Management Job Listing at MedStar Medical Group in Washington, DC (Job ID req38309)

Description

Responsible for assisting with implementation, integration and operational direction of the case management - Special Needs program within MedStar Family Choice, District of Columbia (MFC-DC) through organizing, directing, assessing and evaluating a clinical system that manages cost and quality patient care outcomes. Leads the continuum of care and work collaboratively with interdisciplinary staff, both internal and external to the organization to facilitate the continuum of care, through education and advocacy to enhance health outcomes. Manages a team of Case Managers including RNs and Social Workers to coordinate, negotiate, procure and manage care of Enrollees to facilitate cost effective care and patient satisfaction. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
Education

• Bachelor's degree in related field required

• 3-4 years Case management experience and 3 years diverse clinical experience required and
• 1-2 years 2 years supervisory experience preferred

• Valid RN license in the District of Columbia. required and
• Active CCM (Certified Case Manager) or CCM within 1-1/2 Yrs required

• Excellent verbal and written communication skills.
• Ability to follow verbal and written instructions.
• Proficient with Microsoft Office applications especially Word, Excel and PowerPoint.
• Ability to enter and retrieve information using a PC.
• Working knowledge of various computer software applications.
• Knowledge of current trends in health care delivery and population management.
• Knowledge of NCQA, HEDIS, InterQual and local regulatory guidelines preferred.