Transitional Care Manager

JOB DESCRIPTION DETAILS Job Summary: Responsible for following participating patients/beneficiaries from the hospital into their homes or a lower level of care facility using an evidence-based care coordination approach, provides services designed to streamline plans of care and interrupt patterns of frequent acute hospital or emergency department use and health status decline.

Education

Bachelors degree. Current RN license. CCM preferred. Registration/Certification/Licensure: Register Nurse

• State of Maryland Experience: 5 years experience in case management in the hospital, home health or ambulatory care setting. Other Requirements: Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements. Effectively communicates with all patient populations and staff by implementing organization-wide communication techniques as a daily practice. Effectively advocates for quality patient safety and satisfaction as a daily practice. Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements. Demonstrated proficiency of computer skills necessary to effectively complete position requirements. Previous experience and demonstrated professionalism in effectively communicating with customers and in promoting a positive service atmosphere. Ability to work independently in a multi-task environment producing quality work. Specific technical skills may be required to fulfill department requirements. Up to six (6) months on-the-job training provided to gain proficiency.