Experience & Requirements

• RN with minimum of five (5) years’ clinical experience
• Prefer CCM certification
• CPR certification.
• Knowledge of specific state laws and regulations governing practice.
• Satisfactory completion of initial and annual clinical competencies to demonstrate clinical aptitude.

A background check, security clearance and drug screening are required for this role.

YesCare is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans.

Responsibilities

Below is a list of your responsibilities as a Registered Nurse (RN) Case Manager with YesCare at Metro Transition Center located in Baltimore, MD:

• Authorization of elective hospitalization.
• Concurrent review of hospitalizations through in-hospital chart review and via telephone of all admissions.
• Follow-up and discharge planning with the attending physician and site medical director
• Discharge planning for hospitalizations will include but not limited to: - Maintain a daily count of available infirmary beds within the system.
• Daily Contact with the Medical Director/Infirmary Medical Directors relating to the pending discharges for proper placement.
• Arrange for special equipment required for patient discharge, and follow-up of delivery off equipment.
• Screening of PAL procedures. Conference calling will be performed form the YesCare Central Office.
• Maintenance of documentation on concurrent review through the automated AMISYS Medical Management System.
• Retrospective chart review of questionable hospitalizations in outlying hospitals when indicated.
• Chart audit of inpatient charges.
• Work closely with YesCare physician advisors and Medical Directors Council to update and maintain policy according to industry standard.
• Maintain direct review responsibilities for designated geographic area of review.
• Any additional duties as assigned.
• Attend monthly staff meeting and/or monthly coordinator meeting, via telephone conference.
• Available for two on site visits to discuss current issues.
• Ongoing discussions with health team numbers to facilitate the best course of treatment for patients
• Lead regularly scheduled meetings of the inter-disciplinary health care team.
• Coordinate and promote health services efficiently for the patient population in order to realize a cost savings.
• Utilize available in house resource personnel for consultation, treatment, and/or resolution of identified problems to ensure optional outcomes.
• Monthly reviews of all on-going patient medical problems, as well as quarterly reviews f all patients in chronic care clinics.

YesCare Benefits (only applicable for full-time positions)

• Health, Dental and Vision Insurance
• Life and Disability Insurance
• Generous PTO plan
• 401k with matching funds
• Employee Discount and Rewards Program
• Tuition Assistance
• Continuing Education Reimbursement

About YesCare Health

By choosing a career with YesCare, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a YesCare professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join YesCare today and be part of our legacy of innovation and clinical expertise.