Registered Nurse Senior- Case Management

Holy Cross Health is seeking a Registered Nurse Senior in Case Management for our Silver Spring location. In this full-time, day shift role, you will implement case management activities across all age groups to promote continuous improvement in care coordination, monitor clinical resource consumption, and ensure accurate clinical documentation. You will work to optimize cost-efficient resource utilization and maximize reimbursement while providing continuity of care and post-hospital planning.

Responsibilities

• Utilize Interqual Criteria to concurrently review cases for appropriateness of admission and continued stay
• Document timely specific data (Severity of Illness and Intensity of Service) to support admission and continued stay in the URE module
• Interact with physicians regarding level of care concerns and facilitate patient transfers to more appropriate levels of care as needed
• Refer cases to the Physician Advisor and initiate PA recommendations
• Demonstrate competency with the automated review system (MIDAS) through correct use of all implemented modules
• Document concurrent primary and secondary diagnoses on admission review, every three days, and as patient condition changes
• Communicate effectively with patients, families when appropriate, and other members of the healthcare team
• Perform thorough and timely documentation of initial discharge planning assessments including Assessment Flow sheet and Plan of Care

Required Qualifications

• Active RN license from the State of Maryland
• At least three years of acute care experience
• Knowledge of overall hospital operations, especially in areas of reimbursement and regulatory matters
• Highly articulate with strong written and verbal communication skills
• Computer literacy and analytic skills
• Ability to communicate effectively with good audio and visual acuity
• Demonstrated ability to work with all age groups of patients from birth to geriatric

Preferred Qualifications

• Bachelor's Degree
• Certification in Case Management
• Experience in Utilization/Quality Management, Discharge Planning, or Clinical Documentation enhancement

Schedule and Employment

• Full-time position (0.4 FTE up to 1.0 FTE available)
• Day shift
• Location: Silver Spring

Compensation and Benefits

• Pay range: $41.46 – $64.31 per hour, based on experience, skills, and education
• Comprehensive medical, dental, and vision coverage
• Mental health benefits
• Paid time off
• 403B retirement plan
• Education assistance
• Voluntary benefits including pet insurance, accident insurance, and hospital indemnity
• Benefits available from the first day of employment
• Flexible schedules to support work/life balance
• Free onsite parking
• Referral Rewards Program